Michael Canning

NPI 1679861108 · on the registry since 2011 · sole proprietor

Practice

Address: 862 S Main St
Brigham City, UT 84302
Phone: (435) 723-2521
Organisation at this address: Youth Track
Youthtrack, Inc.
Rite Of Passage, Inc
Life-Skills And Individual Needs Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 209

Registry record

Primary taxonomy: Foster Care Agency
253J00000X
Also registered as: Emotionally Disturbed Childrens' Residential Treatment Facility
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-07-18

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