| NPI | 1336329911 |
|---|---|
| Doing Business As | DCCCA, GREAT BEND ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | KERYE J. JACKLSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KS 678) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2020-05-29 |