Dccca, Inc. in Lawrence - Rehabilitation, Substance Use Disorder
Dccca, Inc. - NPI 1417076001
Dccca, Inc. is a Rehabilitation, Substance Use Disorder in Lawrence, Kansas. Dccca, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Dccca, Inc. is 1417076001. The last update date is 2020-05-29.
Dccca, Inc.'s current location address is 3312 Clinton Pkwy, Lawrence, Kansas. You can contact this provider via phone number 7858414138 and fax number 7858415777. The mailing address for Dccca, Inc. is 3312 Clinton Pkwy, Lawrence, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dccca, Inc. |
|---|---|
| Address | 3312 Clinton Pkwy, Lawrence, Kansas |
| Phone Number | 7858414138 |
| Fax Number | 7858415777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Jackson J Kerye |
| Credentials | CPA, CMA |
| Telephone Number | 7858414138 |
NPI Number Detail
| NPI Number | 1417076001 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-05-29 |
Provider Mailing Address Detail
| Address | 3312 Clinton Pkwy |
|---|---|
| City | Lawrence |
| State | Kansas (KS) |
| Post Code | 660473624 |
| Phone Number | 7858414138 |
| Fax Number | 7858415777 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 52 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116027 | KS | BLUE CROSS BLUE SHIELD | |
| 6250045 | KS | UNITED BEHAVIORAL HEALTH | |
| 100106740N | KS | -- |
Post Comment/ Review Below
What is the Dccca, Inc.'s unique identification number?
The Dccca, Inc. has been assigned the NPI (National Provider Identifier) Number 1417076001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Dccca, Inc.?
The Dccca, Inc. is situated at 3312 Clinton Pkwy, in the city of Lawrence, state of KS, with the zip code 660473624.
What is the Dccca, Inc.'s specialty and taxonomy code?
The Dccca, Inc.'s specialty is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code is 261Qr0405X.
On what date did Dccca, Inc. receive its 1417076001 assignment from the Centers for Medicare & Medicaid Services?
The Dccca, Inc. was assigned its 1417076001 on 2007-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Dccca, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dccca, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-29.
NPI Number: 1942207287
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