Christine Lynn Bohannon

NPI #1124162227 in Adrian, Missouri

Provider Information

NPI Number
1124162227
Entity Type
Individual
Name
Christine Lynn Bohannon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
BOX 64 303 W MAIN ST
City
Adrian
ZIP Code
64720-9217
Phone
(816) 805-2980

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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