Women'S Recovery Center-Young Women

LBN: Dccca, Inc
Women'S Recovery Center-Young Women is an health care organization with primary practice located at 1319 W May St , Wichita KS 67213-3505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Dccca, Inc can be contacted via phone (316) 262-0505, or through Jackson, Kerye J via phone (785) 841-4138.

Contact Information

Primary practice address
1319 W May St Wichita KS 67213-3505
Phone: (316) 262-0505
Fax: (316) 262-7384
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kerye J CPA, CMA
Phone: (785) 841-4138

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 279 Kansas

Profile Details

NPI number 1699898213
LBN Legal business name Dccca, Inc
DBA Doing business as Women'S Recovery Center-Young Women
Authorized official Jackson, Kerye J CPA, CMA
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 9th, 2007
Last updated May 29th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699898213 NPPES
Kansas MEDICAID 100106740D
Kansas Other 929460

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