Cirque Lodge Inc
Cirque Lodge Inc is a Substance Abuse Rehabilitation Facility in Orem, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
777 N Palisades DrOrem, UT 84097-4341
Phone: (801) 222-9200
Fax: (801) 222-0112
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 12370 (UT) |
|---|
Record details
| NPI number | 1912108242 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Fisher — Director Of Operations · (801) 222-9200 |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | November 26, 2016 |
| Mailing address | 777 N Palisades Dr, Orem, UT 84097-4341 |
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