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Lisa Gahn
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cheboygan, Michigan
NPI 1710435938

Lisa Gahn is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Cheboygan, MI. Lisa Gahn practices in Cheboygan, MI. The NPI Number for Lisa Gahn is 1710435938 and holds a License No. 4 (Michigan).

The current practice location address for Lisa Gahn is 9570 John Werner Dr, Cheboygan, MI and can be reached out via phone at 740-491-2623.

Location: 9570 John Werner Dr, Cheboygan, MI, 49721-9411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710435938
Provider Name
Lisa Gahn
Credential
Provider Entity Type
Organization
Address
9570 John Werner Dr, Cheboygan, MI, 49721-9411
Phone Number
740-491-2623
Fax Number
Provider Enumeration Date
09/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9570 John Werner Dr
City
Cheboygan
State
Michigan
Zip
49721-9411
Phone Number
740-491-2623
Fax Number
person
Provider Business Mailing Address Details
Address
9570 John Werner Dr
City
Cheboygan
State
Michigan
Zip
49721-9411
Phone Number
740-491-2623
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4 (Michigan)
Definition
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.
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