Dccca, Inc.

NPI #1932664190 in Pratt, Kansas

Provider Information

NPI Number: 1932664190
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 1, 2019
Last Updated: May 29, 2020

Practice Location

Address: 501 S NINNESCAH ST
City: Pratt
State: Kansas
ZIP Code: 67124-2838
Phone: (620) 672-7546

Authorized Official

Name: KERYE J JACKSON
Title: CFO
Phone: (785) 841-4138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
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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