NPI: 1891813614
Provider Name: DCCCA, INC
Doing Business As: DCCCA, INC OUTPATIENT
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1739 E 23RD ST
LAWRENCE, KS
ZIP 66046
Phone: (785) 830-8238
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DCCCA, INC is a rehabilitation and substance use disorder clinic center in Lawrence, KS. DCCCA, INC NPI is 1891813614. The provider is registered as an organization entity type.
The provider Is Doing Business As Dccca, Inc Outpatient.
The provider's business location address is:
1739 E 23RD ST
LAWRENCE, KS
ZIP 66046-017
Phone: (785) 830-8238
Fax: (785) 830-8246
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 3/27/2007 and was last updated on 5/27/2020.