# CLARENCE M. KELLEY DETENTION SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forbes Juvenile Attention Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669698759
- **Authorized official:** TERRY L. CAMPBELL (VICE-PRESIDENT - COO)
- **Authorized official phone:** (785) 232-7445

## Contact information

- **Practice address:** 6700 SOUTHWEST TOPEKA BOULEVARD, BUILDING 379, FORBES FIELD, TOPEKA, KS 66214
- **Practice address phone:** (785) 862-5378
- **Practice address fax:** (785) 862-1683
- **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 | 26228-2 | KS | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020