1700904513 DCCCA, INC

Substance Use Disorder Rehabilitation Clinic/Center

Active

Basic Information

Organization Name
DCCCA, INC
Enumeration Date
March 27, 2007
Last Update
May 29, 2020
Authorized Official
KERYE J JACKSON CPA, CMA
CFO
Phone: (785) 841-4138

Practice Location

Address
8901 E ORME ST
WICHITA, KS 672072473
Phone
(316) 265-6011
Fax
(316) 265-4022

Mailing Address

Address
3312 CLINTON PKWY
LAWRENCE, KS 660473624
Phone
(785) 841-4138
Fax
(785) 841-5777

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
 261QM0801X Clinic/Center 074 KS No
Substance Abuse Rehabilitation Facility
 324500000X Substance Abuse Rehabilitation Facility N/A N/A No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
 261QR0405X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1246 01 KS BLUE CROSS BLUE SHIELD

Additional Practice Locations

122 N Millwood St
Wichita, KS 672035850

Phone: (316) 265-6011

Fax: (316) 265-4022

Frequently Asked Questions

What is DCCCA, INC's NPI number?
DCCCA, INC's NPI number is 1700904513.
Which doctor has NPI number 1700904513?
The doctor with NPI number 1700904513 is DCCCA, INC.
What is DCCCA, INC's practice address?
DCCCA, INC's practice address is 8901 E ORME ST, WICHITA, KS, 672072473.
Which doctor practices at 8901 E ORME ST, WICHITA, KS, 672072473?
DCCCA, INC practices at 8901 E ORME ST, WICHITA, KS, 672072473.
What is DCCCA, INC's mailing address?
DCCCA, INC's mailing address is 3312 CLINTON PKWY, LAWRENCE, KS, 660473624.
What is DCCCA, INC's phone number?
DCCCA, INC's phone number is (316) 265-6011.
Who is (316) 265-6011?
(316) 265-6011 is the phone number for DCCCA, INC.
What is DCCCA, INC's specialty?
DCCCA, INC's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is DCCCA, INC?
DCCCA, INC is a Substance Use Disorder Rehabilitation Clinic/Center.
Is DCCCA, INC a Rehabilitation, Substance Use Disorder?
Yes, DCCCA, INC is a Rehabilitation, Substance Use Disorder.
Is DCCCA, INC still practicing?
Yes, DCCCA, INC is currently practicing.
Is DCCCA, INC accepting new patients?
DCCCA, INC may be accepting new patients. Please call their office at (316) 265-6011 to inquire about availability.
Is NPI 1700904513 still active?
Yes, NPI 1700904513 is currently active.
Where does DCCCA, INC practice?
DCCCA, INC practices in WICHITA, KS.