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Cirque Lodge Inc.

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.

physician-icon Basic Information

Practice Location 777 N Palisades Dr, Orem, UT 84097-4341, US
Practice Location Phone801-222-9200
Practice Location Fax801-222-0112
Legal Business NameCIRQUE LODGE INC.
NPI ?1912108242
Entity TypeOrganization
Enumeration Date ? May 31, 2007
Last Update Date ? Nov 26, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Cirque Lodge Inc.

SpecialtySpecializationLicenseLicense State
Substance Abuse Rehabilitation Facility 12370Utah

official-icon Authorized Official of Cirque Lodge Inc.

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/PositionDIRECTOR OF OPERATIONS
Authorized Official Phone Number801-222-9200