Organization
DCCCA, INC
Active
Parent organization
DCCCA, INC
Other names
DCCCA Market St Mental Health
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
700 N MARKET ST, WICHITA, KS 67214-3518
(316) 265-7182
(316) 265-3602
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
—
—
Other
Enumeration date
09/08/2009
Last updated
05/29/2020
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