Dccca, INC

NPI #1053551663 in Winfield, Kansas

Provider Information

NPI Number: 1053551663
Entity Type: Organization
Organization Name: Dccca, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DCCCA, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 23, 2009
Last Updated: May 29, 2020

Practice Location

Address: 121 COLLEGE ST
City: Winfield
State: Kansas
ZIP Code: 67156-2442
Phone: (620) 221-3720

Authorized Official

Name: KERYE J. JACKSON, CPA, CMA
Title: CFO
Phone: (785) 841-4138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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