Provider Demographics
NPI:1396213088
Name:GPS CLINICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:GPS CLINICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIU
Authorized Official - Middle Name:AMANI
Authorized Official - Last Name:EUBANKS SMITH PH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-453-5045
Mailing Address - Street 1:4 CARISSA CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1312
Mailing Address - Country:US
Mailing Address - Phone:443-453-5045
Mailing Address - Fax:443-863-6262
Practice Address - Street 1:9616 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4139
Practice Address - Country:US
Practice Address - Phone:443-453-5045
Practice Address - Fax:443-863-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-11
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)