DCCCA INC NPI 1043414022

NPI Information

NPI: 1043414022
Provider Name: DCCCA, INC

Doing Business As: DCCCA , INC WOMEN'S RECOVERY CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
12351 W 96TH TER
SUITE 300
LENEXA, KS
ZIP 66215
Phone: (913) 894-0900
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DCCCA, INC is a rehabilitation and substance use disorder clinic center in Lenexa, KS. DCCCA, INC NPI is 1043414022. The provider is registered as an organization entity type.
The provider Is Doing Business As Dccca , Inc Women's Recovery Center.

The provider's business location address is:

12351 W 96TH TER
SUITE 300
LENEXA, KS
ZIP 66215-409
Phone: (913) 894-0900
Fax: (913) 894-0908

The provider's authorized official is Kerye J. Jackson .
The authorized official title is Cfo and has the following contact phone number (785) 841-4138.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 5/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		KANSAS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	00590942	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00590942	OTHER	KANSAS	AAPS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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