Organization
DCCCA, INC.
Active
Parent organization
DCCCA, INC
Other names
DCCCA El Dorado Outpatient
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
119 JONES ST, EL DORADO, KS 67042-1469
(316) 322-9600
(316) 322-9602
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)
Primary
—
KS
Other
Enumeration date
06/13/2007
Last updated
05/27/2020
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