Individual provider · Type 1 NPI

Michael Lynn Cunningham

Emotionally Disturbed Childrens' Residential Treatment Facility · Brigham City, UT

NPI number 1427351972 Active

Practice location

62 S 950 W
Brigham City, UT 84302-4424

Call (435) 538-5063 Map

Fax (435) 538-5065

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1427351972

Michael Lynn Cunningham's National Provider Identifier is 1427351972, issued on Dec 6, 2010. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Brigham City, UT. The record was last updated on Dec 6, 2010.