Organization · Type 2 NPI
Kelly Otp LLC
Methadone Clinic · Roseville, MI
NPI number
1265150767
Active
Practice location
25200 Kelly Rd
Roseville, MI 48066-4473
Mailing address
7 Riverbank Dr
Beverly Hills, MI 48025-4800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
2 other providers at this address
Other methadone clinic providers in Roseville
About NPI 1265150767
Kelly Otp LLC's National Provider Identifier is 1265150767, issued on Aug 19, 2022. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Roseville, MI. The record was last updated on Aug 16, 2023.