Dccca, INC

NPI #1801486030 in Mission, Kansas

Provider Information

NPI Number: 1801486030
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: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 6950 SQUIBB RD STE 430
City: Mission
State: Kansas
ZIP Code: 66202-3258
Phone: (913) 222-8225

Authorized Official

Name: KERYE J JACKSON
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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