Organization
PRIMAL MENTAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVONNE NWADIKE (OWNER)
(240) 423-5690
Entity
Organization
Contact information
Practice address
14300 GALLANT FOX LN, BOWIE, MD 20715-4003
(240) 423-5690
(240) 558-6915
Mailing address
14300 GALLANT FOX LN, BOWIE, MD 20715-4003
(240) 423-5690
(240) 558-6915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
04/02/2025
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