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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