# PRIMAL POINT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275241663
- **Authorized official:** NGUFOR FUBE DIVINE PMHNP (PRESIDENT)
- **Authorized official phone:** (410) 870-1590

## Contact information

- **Practice address:** 8713 HARFORD RD STE 102, PARKVILLE, MD 21234-4650
- **Practice address phone:** (410) 870-1590
- **Mailing address:** 8713 HARFORD RD STE 102, PARKVILLE, MD 21234-4650
- **Mailing address phone:** (410) 870-1590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 11/26/2024