Organization
DCCCA, INC
Active
Parent organization
DCCCA, INC.
Other names
Women's Recovery Center of Central Kansas
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
8901 E ORME ST, WICHITA, KS 67207-2473
(316) 262-0505
(316) 262-7384
Mailing address
3312 CLINTON PKWY, LAWRENCE, KS 66047-3624
(785) 841-4138
(785) 841-5777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
279
KS
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106740D
—
KS
01
—
80
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/27/2007
Last updated
05/29/2020
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