institution
Dccca, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Pittsburg, Kansas
NPI 1821117391

Dccca, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lawrence, KS and is specialized in Mental Health (Including Community Mental Health Center). Dccca, Inc practices in Pittsburg, KS. The NPI Number for Dccca, Inc is 1821117391 and holds a License No. 052 (Kansas).

The current practice location address for Dccca, Inc is 1002 E Madison St, Pittsburg, KS and can be reached out via phone at 620-231-6129 and via fax at 620-231-0447.

Location: 1002 E Madison St, Pittsburg, KS, 66047-3624
institution
Provider Profile Details
NPI Number
1821117391
Provider Name
Dccca, Inc
Credential
Provider Entity Type
Organization
Address
1002 E Madison St, Pittsburg, KS, 66047-3624
Phone Number
620-231-6129
Fax Number
620-231-0447
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100106740O 05 KS
1534 01 KS BLUE CROSS BLUE SHIELD
5245784 01 KS UNITED BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
1002 E Madison St
City
State
Zip
66762-6023
Phone Number
620-231-6129
Fax Number
620-231-0447
person
Provider Business Mailing Address Details
Address
1002 E Madison St
City
State
Zip
66762-6023
Phone Number
620-231-6129
Fax Number
620-231-0447
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
052 (Kansas)
Definition
Definition to come...
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