Kelly Otp LLC

NPI #1265150767 in Roseville, Michigan

Provider Information

NPI Number
1265150767
Entity Type
Organization
Organization Name
Kelly Otp LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Aug 19, 2022
Last Updated
Aug 16, 2023

Practice Location

Address
25200 KELLY RD
ZIP Code
48066-4473
Phone
(586) 422-1250

Authorized Official

Name
AARON DOUGLAS ALSTON
Title
PRATICE ADMINISTRATOR
Phone
(248) 971-0150

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health
Psychologist - CounselingCounseling
Social Worker - ClinicalClinical
Family Medicine - Addiction MedicineAddiction Medicine
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Clinic/Center - Medical SpecialtyMedical Specialty
Clinic/Center - MethadoneMethadone

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