NPI Index

KELLY OTP LLC

Clinic/Center - Methadone

Active Organization
NPI: 1265150767

Practice Address

25200 KELLY RD
Roseville, MI 48066

Phone: (586) 422-1250

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor - Mental Health 101YM0800X No -
Psychologist - Counseling 103TC1900X No -
Social Worker - Clinical 1041C0700X No -
Family Medicine - Addiction Medicine 207QA0401X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Clinic/Center - Medical Specialty 261QM2500X No -
Clinic/Center - Methadone 261QM2800X Yes -

Frequently Asked Questions

NPI 1265150767 is the National Provider Identifier for KELLY OTP LLC, a Clinic/Center - Methadone provider located in Roseville, MI. This NPI was enumerated on August 19, 2022.

Quick Facts

NPI
1265150767
Type
Organization
Enumerated
Aug 19, 2022
Last Updated
Aug 16, 2023

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