DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY OTP LLC

Active Organization

KELLY OTP LLC is a Methadone Clinic organization located in ROSEVILLE, Michigan. NPI 1265150767 is currently active in the NPPES registry. Verify at CMS.

Methadone Clinic · ROSEVILLE, MI

Registration Details

NPI Number
1265150767
Provider Type
Organization
NPI Issued
Aug 19, 2022 (3.9701561826393 yrs)
Last Updated
Aug 16, 2023

Practice Information

Address
25200 KELLY RD
ROSEVILLE, MI, 480664473
Browse MI providers · Browse ZIP 48066
Phone
5864221250
Primary Specialty
Methadone Clinic
261QM2800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Counseling Psychologist
Additional Specialty
Clinical Social Worker

Other Methadone Clinic Organizations in ROSEVILLE, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.