Dccca, INC

NPI #1861793556 in Pittsburg, Kansas

Provider Information

NPI Number: 1861793556
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: Nov 11, 2010
Last Updated: May 27, 2020

Practice Location

Address: 1102 S ROUSE ST
City: Pittsburg
State: Kansas
ZIP Code: 66762-6048
Phone: (620) 231-9840

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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