Healthcare Provider Details

I. General information

NPI: 1174470231
Provider Name (Legal Business Name): INNOVATIVE SOLUTIONS 4 U INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12813 OLD FORT RD
FORT WASHINGTON MD
20744-2876
US

IV. Provider business mailing address

12813 OLD FORT RD
FORT WASHINGTON MD
20744-2876
US

V. Phone/Fax

Practice location:
  • Phone: 301-250-4116
  • Fax:
Mailing address:
  • Phone: 301-250-4116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TIAONA SANTANA
Title or Position: HR/ COMPLIANCE DIRECTOR
Credential:
Phone: 240-944-6722