KELLY OTP LLC

Methadone Clinic · ROSEVILLE, MI

Organization Active NPI 1265150767

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Methadone Clinic261QM2800X
Addiction (Substance Use Disorder) Counselor101YA0400X
Mental Health Counselor101YM0800X
Counseling Psychologist103TC1900X
Clinical Social Worker1041C0700X
Addiction Medicine (Family Medicine) Physician207QA0401X
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Medical Specialty Clinic/Center261QM2500X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.