| NPI | 1912543026 |
|---|---|
| Doing Business As | PRIMAL POINT BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JON KOGAN Administrator 443-253-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2021-07-19 |