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NPI Code Detail

MEDICARE: INNOVATIVE SOLUTIONS 4 U INC

MEDICARE: INNOVATIVE SOLUTIONS 4 U INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1811608870
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVATIVE SOLUTIONS 4 U INC
Provider Business Mailing Address
First Line : 12813 OLD FORT RD
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-2876
Country : US
Telephone Number : 301-250-4116
Fax Number :
Provider Business Practice Location Address
First Line : 12813 OLD FORT RD
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-2876
Country : US
Telephone Number : 301-250-4116
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. KEITH EUGENE MCDANIEL SR.
Credential :
Telephone Number : 202-709-2728
Provider Enumeration Date : 12/12/2022
Last Update Date : 05/26/2026

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20744-2876
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1730036880 — INNOVATIVE SOLUTIONS 4 U INCORPORATED
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FORT WASHINGTON, MD
20744-2876
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1174470231 — INNOVATIVE SOLUTIONS 4 U INCORPORATED
Practice Location Address:
12813 OLD FORT RD
FORT WASHINGTON, MD
20744-2876
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Practice Fax:

Directions to “INNOVATIVE SOLUTIONS 4 U INC ” Practice Location

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