Provider Demographics
NPI:1326354580
Name:DCA BEHAVIORAL MANAGEMENT, INC.
Entity Type:Organization
Organization Name:DCA BEHAVIORAL MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:AGUWA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ACSW
Authorized Official - Phone:248-910-0354
Mailing Address - Street 1:3240 CHRISTY WAY S
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2215
Mailing Address - Country:US
Mailing Address - Phone:989-401-1570
Mailing Address - Fax:989-401-1571
Practice Address - Street 1:3240 CHRISTY WAY S
Practice Address - Street 2:SUITE 3
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2215
Practice Address - Country:US
Practice Address - Phone:989-401-1570
Practice Address - Fax:989-401-1571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty