Organization
PRIMAL POINT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGUFOR FUBE DIVINE (PRESIDENT)
(240) 423-8757
Entity
Organization
Contact information
Practice address
9001 HARFORD RD, PARKVILLE, MD 21234-4029
(410) 870-1590
Mailing address
8713 HARFORD RD STE 102, PARKVILLE, MD 21234-4650
(410) 870-1590
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/06/2021
Last updated
09/11/2025
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