Dccca, Inc.

NPI #1629272042 in Lenexa, Kansas

Provider Information

NPI Number: 1629272042
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: Jun 11, 2007
Last Updated: May 29, 2020

Practice Location

Address: 12351 W 96TH TER
Address 2: SUITE 300
City: Lenexa
State: Kansas
ZIP Code: 66215-4409
Phone: (913) 894-0900

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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