| The Phocal Group | |
|
14503 Driftwood Rd Bowie MD 20721-3062 | |
| (860) 830-7598 | |
| Not Available |
| Full Name | The Phocal Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14503 Driftwood Rd, Bowie, Maryland |
| Authorized Official Name and Position | Alisha Jeanette Mitchell (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8608307598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Phocal Group 14503 Driftwood Rd Bowie MD 20721-3062 Ph: (860) 830-7598 | The Phocal Group 14503 Driftwood Rd Bowie MD 20721-3062 Ph: (860) 830-7598 |
| NPI Number | 1548878051 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548878051 | NPI | - | NPPES |
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