NPI: 1356469209
Provider Name: DCCCA, INC
Doing Business As: FIRST STEP AT LAKEVIEW
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 17D2242013
Address:
3015 W 31ST ST
LAWRENCE, KS
ZIP 66047
Phone: (785) 843-9262
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DCCCA, INC is a rehabilitation and substance use disorder clinic center in Lawrence, KS. DCCCA, INC NPI is 1356469209. The provider is registered as an organization entity type.
The provider Is Doing Business As First Step At Lakeview.
The provider's business location address is:
3015 W 31ST ST
LAWRENCE, KS
ZIP 66047-042
Phone: (785) 843-9262
Fax: (785) 843-9264
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 CLIA number assigned to this NPI record is 17D2242013 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/27/2007 and was last updated on 5/29/2020.