| NPI | 1891813614 |
|---|---|
| Doing Business As | DCCCA, INC OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | KERYE J JACKSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-05-27 |