| NPI | 1417280611 |
|---|---|
| Doing Business As | DCCCA MARKET ST MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KERYE J JACKSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2020-05-29 |