# CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Transitional Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457576381
- **Authorized official:** TERRY L. CAMPBELL (VICE-PRESIDENT - COO)
- **Authorized official phone:** (785) 232-7445

## Contact information

- **Practice address:** 2620 SE 23RD ST, TOPEKA, KS 66605-1747
- **Practice address phone:** (785) 232-7445
- **Practice address fax:** (785) 232-7776
- **Mailing address:** 7945 FLINT ST, LENEXA, KS 66214-3333
- **Mailing address phone:** (913) 647-7732
- **Mailing address fax:** (913) 647-7710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 0043892-004 | KS | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020