NPI:
1417076001
Provider Name:
DCCCA, INC.
Doing Business As: ELM ACRES RECOVERY-PITTSBURG OUTPATIENT
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1102 SOUTH ROUSE
PITTSBURG, KS
ZIP 66762
Phone:
(620) 231-5310
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DCCCA, INC. is a rehabilitation and substance use disorder clinic center in Pittsburg, KS. DCCCA, INC. NPI is 1417076001. The provider is registered as an organization entity type.
The provider Is Doing Business As Elm Acres Recovery-pittsburg Outpatient.
The provider's business location address is:
1102 SOUTH ROUSE
PITTSBURG, KS
ZIP 66762-023
Phone: (620) 231-5310
Fax: (620) 231-1178
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 3/28/2007 and was last updated on 5/29/2020.