| NPI | 1952505935 |
|---|---|
| Doing Business As | DCCCA EL DORADO OUTPATIENT |
| 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) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-05-27 |