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Mr. Michael Lynn Cunningham
Emotionally Disturbed Childrens' Residential Treatment Facility in Brigham City, Utah
NPI 1427351972

Michael Lynn Cunningham is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Brigham City, UT. Michael Lynn Cunningham practices in Brigham City, UT. The NPI Number for Michael Lynn Cunningham is 1427351972 and holds a License No. (Utah).

The current practice location address for Michael Lynn Cunningham is 62 S 950 W, Brigham City, UT and can be reached out via phone at 435-538-5063 and via fax at 435-538-5065.

Location: 62 S 950 W, Brigham City, UT, 84302-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427351972
Provider Name
Michael Lynn Cunningham
Credential
Provider Entity Type
Individual
Gender
Male
Address
62 S 950 W, Brigham City, UT, 84302-4424
Phone Number
435-538-5063
Fax Number
435-538-5065
Provider Enumeration Date
12/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
62 S 950 W
City
Brigham City
State
Utah
Zip
84302-4424
Phone Number
435-538-5063
Fax Number
435-538-5065
person
Provider Business Mailing Address Details
Address
62 S 950 W
City
Brigham City
State
Utah
Zip
84302-4424
Phone Number
435-538-5063
Fax Number
435-538-5065
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
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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