MR. MICHAEL LYNN CUNNINGHAM NPI 1427351972

NPI Information

MR. Michael Lynn Cunningham is a residential treatment facility emotionally disturbed children in Brigham City, UT. The provider is 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. MR. Michael Lynn Cunningham NPI is 1427351972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

62 S 950 W
BRIGHAM CITY, UT
ZIP 84302-424
Phone: (435) 538-5063
Fax: (435) 538-5065

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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