Christine Lynn Bohannon
Christine Lynn Bohannon is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
Box 64 303 W Main StAdrian, MO 64720-9217
Phone: (816) 805-2980
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (MO) |
|---|
Record details
| NPI number | 1124162227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | July 8, 2007 |
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