Organization
CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC
Active
Other names
Transitional Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L. CAMPBELL (VICE-PRESIDENT - COO)
(785) 232-7445
Entity
Organization
Contact information
Practice address
2620 SE 23RD ST, TOPEKA, KS 66605-1747
(785) 232-7445
(785) 232-7776
Mailing address
7945 FLINT ST, LENEXA, KS 66214-3333
(913) 647-7732
(913) 647-7710
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0043892-004
KS
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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