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Michael Cunningham
NPI 1427351972 · on the registry since 2010 · sole proprietor
Practice
- Address
- 62 S 950 W
Brigham City, UT 84302 - Phone
- (435) 538-5063
- Fax
- (435) 538-5065
- Organisation at this address
- Triumph Academy Inc
Triumph Youth Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
- Sex
- Male
- Record last updated
- 2010-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah