Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Community/Behavioral Health |
251S00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1881811867 |
| LBN Legal business name | DCCCA, INC |
| Authorized official | KERYE JACKSON - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/19/2007 |
| Last updated | 05/29/2020 - About 6 years ago |
| Identifiers | n/a |
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DCCCA, INC
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