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CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA LLC NPI 1457576381


NPI Information

NPI: 1457576381
Provider Name: CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC

Doing Business As: TRANSITIONAL LIVING CENTER

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2620 SE 23RD ST
TOPEKA, KS
ZIP 66605
Phone: (785) 232-7445
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CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC is a residential treatment facility emotionally disturbed children in Topeka, KS. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC NPI is 1457576381. The provider is registered as an organization entity type.
The provider Is Doing Business As Transitional Living Center.

The provider's business location address is:

2620 SE 23RD ST
TOPEKA, KS
ZIP 66605-747
Phone: (785) 232-7445
Fax: (785) 232-7776

The provider's authorized official is Terry L. Campbell .
The authorized official title is Vice-president - Coo and has the following contact phone number (785) 232-7445.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children0043892-004KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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