Organization · Type 2 NPI

Dccca, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Lawrence, KS

NPI number 1841494929 Active

Practice location

3312 Clinton Pkwy
Lawrence, KS 66047-3624

Fax (785) 841-5777

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1841494929
Entity type: Organization (Type 2)
Issued: Jun 13, 2007
Last updated: May 27, 2020
Status: Active
Subpart: Yes of Dccca, Inc

Other names

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Dccca Behavioral Health Lawrence · doing business as
Dccca Behavioral Health Lawrence · 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 1841494929

Dccca, Inc.'s National Provider Identifier is 1841494929, issued on Jun 13, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lawrence, KS. The record was last updated on May 27, 2020.