NPI 1003153321

Jo-Ann N. Bolli, M. D., P.S.C.

Organisation Substance Use Disorder Rehabilitation Clinic/Center Clinton, KY

Practice location

Address: 308 S Washington St Suite 201, Clinton, KY 42031-1340
Phone: (270) 653-4070
Fax: (270) 653-4007
Mailing address: 308 S Washington St STE 201 P. O. Box 123, Clinton, KY 42031-1347

Authorised official

Name: Jo-Ann Nadeau Bolli
Title: Owner
Phone: (270) 653-4070

Registered specialties (2)

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 28789 (KY)

Other Clinic/Center providers in Kentucky →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 28789 (KY)

Registry record

NPI: 1003153321
Entity type: Organization
NPI issued: 7 Jan 2013
Record last updated: 7 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.