Cirque Lodge Inc. is a health care provider in Orem, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||777 N Palisades Dr, Orem, UT 84097-4341, US|
|Practice Location Phone||801-222-9200|
|Practice Location Fax||801-222-0112|
|Legal Business Name||CIRQUE LODGE INC.|
|Enumeration Date ?||May 31, 2007|
|Last Update Date ?||Nov 26, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Substance Abuse Rehabilitation Facility||Residential Treatment Facilities||12370||Utah|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Cirque Lodge Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Gary Fisher|
|Authorized Official Title/Position||DIRECTOR OF OPERATIONS|
|Authorized Official Phone Number||801-222-9200|