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Cirque Lodge Inc.
Substance Abuse Rehabilitation Facility in Orem, Utah
NPI 1912108242

Cirque Lodge Inc. is a Substance Abuse Rehabilitation Facility based in Orem, UT. Cirque Lodge Inc. practices in Orem, UT. The NPI Number for Cirque Lodge Inc. is 1912108242 and holds a License No. 12370 (Utah).

The current practice location address for Cirque Lodge Inc. is 777 N Palisades Dr, Orem, UT and can be reached out via phone at 801-222-9200 and via fax at 801-222-0112.

Location: 777 N Palisades Dr, Orem, UT, 84097-4341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912108242
Provider Name
Cirque Lodge Inc.
Credential
Provider Entity Type
Organization
Address
777 N Palisades Dr, Orem, UT, 84097-4341
Phone Number
801-222-9200
Fax Number
801-222-0112
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
777 N Palisades Dr
City
Orem
State
Utah
Zip
84097-4341
Phone Number
801-222-9200
Fax Number
801-222-0112
person
Provider Business Mailing Address Details
Address
777 N Palisades Dr
City
Orem
State
Utah
Zip
84097-4341
Phone Number
801-222-9200
Fax Number
801-222-0112
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
12370 (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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