Healthcare Provider Details

I. General information

NPI: 1821121534
Provider Name (Legal Business Name): FLORENCE CRITTENTON SERVICES OF TOPEKA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 06/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2649 SW ARROWHEAD RD
TOPEKA KS
66614-2458
US

IV. Provider business mailing address

2649 SW ARROWHEAD RD
TOPEKA KS
66614-2458
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-0516
  • Fax: 785-271-4433
Mailing address:
  • Phone: 785-233-0516
  • Fax: 785-271-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number0003166-003
License Number StateKS

VIII. Authorized Official

Name: MS. JOLANA R PINON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 785-233-0516