Organization
DCCCA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERYE J JACKSON CPA, CMA (CFO)
(785) 841-4138
Entity
Organization
Contact information
Practice address
6950 SQUIBB RD STE 400, MISSION, KS 66202-3258
(785) 841-4138
Mailing address
3312 CLINTON PKWY, LAWRENCE, KS 66047-3624
(785) 841-4138
(785) 841-5777
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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