Cirque Lodge Inc.

NPI #1912108242 in Orem, Utah

Provider Information

NPI Number
1912108242
Entity Type
Organization
Organization Name
Cirque Lodge Inc.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 31, 2007
Last Updated
Nov 26, 2016

Practice Location

Address
777 N PALISADES DR
City
Orem
State
Utah
ZIP Code
84097-4341
Phone
(801) 222-9200

Authorized Official

Name
GARY FISHER
Title
DIRECTOR OF OPERATIONS
Phone
(801) 222-9200

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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