Individual provider · Type 1 NPI
Teresa Ann Bohannan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Forest Hill, TX
Practice location
3725 Dutch Iris Ln
Forest Hill, TX 76140-7005
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 1770194532
Teresa Ann Bohannan's National Provider Identifier is 1770194532, issued on Aug 13, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Forest Hill, TX. The record was last updated on Sep 17, 2020.