Individual provider · Type 1 NPI
Christine Lynn Bohannon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Adrian, MO
Practice location
Box 64 303 W Main St
Adrian, MO 64720-9217
Mailing address
303 W Main St, PO Box 64
Adrian, MO 64720-9217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1124162227
Christine Lynn Bohannon's National Provider Identifier is 1124162227, issued on Feb 20, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Adrian, MO. The record was last updated on Jul 8, 2007.