IndividualActive
Michael Cunningham
NPI 1427351972 · Emotionally Disturbed Childrens' Residential Treatment Facility · Brigham City, UT
Provider details
- NPI number
- 1427351972
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
62 S 950 W
Brigham City, UT 84302-4424
Phone: (435) 538-5063
Fax: (435) 538-5065
Approximate (ZIP-level) locationGet directions
Mailing address
62 S 950 W
Brigham City, UT 84302-4424
Registry dates
- Enumerated
- 2010-12-06
- Last updated
- 2010-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.