| NPI | 1932664190 |
|---|---|
| Doing Business As | DCCCA BEHAVIORAL HEALTH PRATT |
| 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 | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2020-05-29 |