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Organization
PRIMAL HEALTH CLINIC LLC
Active
Organization
PRIMAL HEALTH CLINIC LLC
Active
Other names
Primal Point Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JON KOGAN (ADMINISTRATOR)
(443) 253-5533
Entity
Organization
Contact information
Practice address
449 HOPKINS LANDING DR, ESSEX, MD 21221-2229
(443) 600-0181
Mailing address
449 HOPKINS LANDING DR, ESSEX, MD 21221-2229
(443) 600-0181
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/24/2019
Last updated
07/19/2021
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