| Dccca, Inc | |
|
8901 E Orme St Wichita KS 67207-2473 | |
| (316) 265-6011 | |
| (316) 265-4022 |
| Full Name | Dccca, Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 8901 E Orme St, Wichita, 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 8901 E Orme St Wichita KS 67207-2473 Ph: (316) 265-6011 |
| NPI Number | 1700904513 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700904513 | NPI | - | NPPES |
| 1246 | Other | KS | BLUE CROSS BLUE SHIELD |
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