CIRQUE LODGE INC. NPI 1912108242

NPI Information

CIRQUE LODGE INC. is a substance abuse rehabilitation facility in Orem, UT. The provider is 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. CIRQUE LODGE INC. NPI is 1912108242. The provider is registered as an organization entity type.

The provider's business location address is:

777 N PALISADES DR
OREM, UT
ZIP 84097-341
Phone: (801) 222-9200
Fax: (801) 222-0112

The provider's authorized official is Gary Fisher .
The authorized official title is Director Of Operations and has the following contact phone number (801) 222-9200.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 11/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.