Healthcare Provider Details

I. General information

NPI: 1811833726
Provider Name (Legal Business Name): CLINICAL SOLUTIONS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4022 BLACKBURN LN
BURTONSVILLE MD
20866-1167
US

IV. Provider business mailing address

4000 BLACKBURN LN STE 150
BURTONSVILLE MD
20866-6127
US

V. Phone/Fax

Practice location:
  • Phone: 301-421-4241
  • Fax: 410-696-3696
Mailing address:
  • Phone: 301-421-4121
  • Fax: 410-696-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: CHARLES EDMUNDS
Title or Position: CFO
Credential:
Phone: 301-421-4241