| Dccca, Inc | |
|
119 Jones St El Dorado KS 67042-1469 | |
| (316) 322-9600 | |
| (316) 322-9602 |
| Full Name | Dccca, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 Jones St, El Dorado, Kansas |
| Authorized Official Name and Position | Kerye J Jackson (CFO) |
| Authorized Official Contact | 7858414138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dccca, Inc 3312 Clinton Pkwy Lawrence KS 66047-3624 Ph: (785) 841-4138 | Dccca, Inc 119 Jones St El Dorado KS 67042-1469 Ph: (316) 322-9600 |
| NPI Number | 1760675706 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760675706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 687 (Kansas) | Primary |
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