Organization · Type 2 NPI

Dccca, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Pittsburg, KS

NPI number 1417076001 Active · reactivated Jun 11, 2026

Practice location

1102 South Rouse
Pittsburg, KS 66762-6023

Call (620) 231-5310 Map

Fax (620) 231-1178

Mailing address

3312 Clinton Pkwy
Lawrence, KS 66047-3624

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	052 (KS)
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	052 (KS)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Other substance use disorder rehabilitation clinic/center providers in Pittsburg

Community Health Center of Southeast Kansas, IncSubstance Use Disorder Rehabilitation Clinic/Center Pittsburg, KS NPI 1902259757

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NPI record

NPI: 1417076001
Entity type: Organization (Type 2)
Issued: Mar 28, 2007
Last updated: Jun 11, 2026
Status: Active
Subpart: Yes of Dccca, Inc.

Other names

<unavail>
Elm Acres Recovery-Pittsburg Outpatient · doing business as
Elm Acres Recovery-Pittsburg Outpatient · doing business as

Authorized official

Kerye J Jackson, CPA, CMA
CFO
(785) 841-4138

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417076001

Dccca, Inc.'s National Provider Identifier is 1417076001, issued on Mar 28, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Pittsburg, KS. The record was last updated on Jun 11, 2026.