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Organization
DCCCA, INC.
Active
Organization
DCCCA, INC.
Active
Parent organization
DCCCA, INC
Other names
DCCCA Behavioral Health Lawrence
Organization subpart
Yes
Provider details
NPI number
Legal business name
DCCCA, INC
Authorized official
KERYE J. JACKSON CPA, CMA (CFO)
(785) 841-4138
Entity
Organization
Contact information
Practice address
3312 CLINTON PKWY, LAWRENCE, KS 66047-3624
(785) 841-4138
(785) 841-5777
Mailing address
3312 CLINTON PKWY, LAWRENCE, KS 66047-3624
(785) 841-4138
(785) 841-5777
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KS
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
KS
Other
Enumeration date
06/13/2007
Last updated
05/27/2020
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