Organization · Type 2 NPI

Dccca, Inc

Substance Use Disorder Rehabilitation Clinic/Center · Wichita, KS

NPI number 1700904513 Active

Practice location

8901 E Orme St
Wichita, KS 67207-2473

Call (316) 265-6011 Map

Fax (316) 265-4022

Mailing address

3312 Clinton Pkwy
Lawrence, KS 66047-3624

Other practice locations

122 N Millwood St, Wichita, KS 67203-5850 · (316) 265-6011

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	074 (KS)
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

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

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NPI record

NPI: 1700904513
Entity type: Organization (Type 2)
Issued: Mar 27, 2007
Last updated: May 29, 2020
Status: Active
Subpart: Yes of Dccca, Inc

Other names

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Dccca, Inc Options Adult · doing business as
Dccca, Inc Options Adult · 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 1700904513

Dccca, Inc's National Provider Identifier is 1700904513, issued on Mar 27, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Wichita, KS. The record was last updated on May 29, 2020.