| NPI | 1841405354 |
|---|---|
| Doing Business As | DCCCA BEHAVIORAL HEALTH WICHITA |
| Entity Type | Organization |
| Authorized Contact | KERYE J. JACKSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-05-28 |