Dccca, INC
Voluntary or Charitable in Lawrence, KS. Organization (NPI-2).
NPI number1881811867
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1881811867
- Entity type
- Organization (NPI-2)
- Legal business name
- Dccca, INC
- Organization subpart
- Yes
- Enumeration date
- Apr 19, 2007
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
3312 Clinton PkwyLawrence, KS 66047-3624
Phone 785-841-4138 · Fax 785-841-5777
Mailing address
3312 Clinton PkwyLawrence, KS 66047-3624
Phone 785-841-4138 · Fax 785-841-5777
Authorized official
Kerye J Jackson
Cfo
7858414138
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