Primal Point LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Parkville, MD. Organization (NPI-2).
NPI number1710695101
StatusActive
Last updated in NPPESNov 26, 2024
Details
- NPI
- 1710695101
- Entity type
- Organization (NPI-2)
- Legal business name
- Primal Point LLC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2022
- Certification date
- Nov 26, 2024
- Last updated
- Nov 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
8713 Harford Rd Ste 102Parkville, MD 21234-4650
Phone 410-870-1590
Mailing address
8713 Harford Rd Ste 102Parkville, MD 21234-4650
Phone 410-870-1590
Other practice locations
9001 Harford Rd
Parkville, MD 21234-4029
Parkville, MD 21234-4029
Phone 410-870-1590
Authorized official
Ngufor Fube Divine
President
4108701590
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