Cirque Lodge Inc
Cirque Lodge Inc is a Substance Abuse Rehabilitation Facility in Sundance, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3114 E Ida's RdSundance, UT 84604
Phone: (801) 222-9200
Fax: (801) 222-0112
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 28275 (UT) |
|---|
Record details
| NPI number | 1437692241 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Fisher — Executive Director · (801) 222-9200 |
| NPI enumerated | November 28, 2016 |
| Last updated in NPPES | November 28, 2016 |
| Mailing address | Rr 3 Box A10, Sundance, UT 84604-8901 |