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DCCCA INC NPI 1699898213


NPI Information

NPI: 1699898213
Provider Name: DCCCA, INC

Doing Business As: WOMEN'S RECOVERY CENTER-YOUNG WOMEN

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1319 W MAY ST
WICHITA, KS
ZIP 67213
Phone: (316) 262-0505
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DCCCA, INC is a mental health (including community mental health center) clinic center in Wichita, KS. DCCCA, INC NPI is 1699898213. The provider is registered as an organization entity type.
The provider Is Doing Business As Women's Recovery Center-young Women.

The provider's business location address is:

1319 W MAY ST
WICHITA, KS
ZIP 67213-505
Phone: (316) 262-0505
Fax: (316) 262-7384

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 4/9/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)279KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100106740DMEDICAIDKANSAS
2929460OTHERKANSASCENPATICO

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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