Cirque Lodge Inc - Sundance, UT

Cirque Lodge Inc

Substance Abuse Rehabilitation Facility in Sundance, Utah

NPI 1437692241

Cirque Lodge Inc is a Substance Abuse Rehabilitation Facility based in Sundance, UT. Cirque Lodge Inc practices in Sundance, UT. The NPI Number for Cirque Lodge Inc is 1437692241 and holds a License No. 28275 (Utah).

The current practice location address for Cirque Lodge Inc is 3114 E Ida's Road, Sundance, UT and can be reached out via phone at 801-222-9200 and via fax at 801-222-0112.

Location: 3114 E Ida's Road, Sundance, UT, 84604-8901

NPI Number

1437692241

Provider Name

Cirque Lodge Inc

Credential

Provider Entity Type

Organization

Address

3114 E Ida's Road, Sundance, UT, 84604-8901

Phone Number

801-222-9200

Fax Number

801-222-0112

Provider Enumeration Date

11/28/2016

Last Update Date

03/09/2024

Address

3114 E Ida's Road

City

Sundance

State

Utah

Zip

84604

Phone Number

801-222-9200

Fax Number

801-222-0112

Address

3114 E Ida's Road

City

Sundance

State

Utah

Zip

84604

Phone Number

801-222-9200

Fax Number

801-222-0112

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

28275 (Utah)

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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