| Organization Name: | DCCCA, INC. |
| NPI Number: | 1043414022 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERYE J. JACKSON (DIRECTOR OF FINANCE) |
| Mailing Address: | 12351 W 96th Ter Suite 300 Lenexa |
| State: | KS US |
| Postal Code: | 662154409 |
| Phone Number: | 9138940900 |
| Fax Number: | 9138940908 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |