Organization · Type 2 NPI
Lisa Gahn
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cheboygan, MI
Practice location
9570 John Werner Dr
Cheboygan, MI 49721-9411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 4 (MI) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1710435938
Lisa Gahn's National Provider Identifier is 1710435938, issued on Sep 16, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Cheboygan, MI. The record was last updated on Jul 21, 2022.