CIRQUE LODGE INC
Residential Treatment Facilities in Provo, UT

License number
Utah 28275
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: GARY FISHER
Title: EXECUTIVE DIRECTOR
Phone: (801) 222-9200
Address
Address
3114 E Rd IDA'S, Provo, UT 84604
National Provider ID: 1437692241
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CIRQUE LODGE INC at bizstanding.com

Cirque Lodge

Orem, UT  -  Provo, UT

Industry:
Residential Substance Abuse Treatment, Other Social Advocacy Organizations
Doing business as:
Cirque Lodge, Inc
Registration:
Feb 27, 1998
Site:
cirquelodge.com
Phone:
(877) 997-3422 (Phone), (801) 222-9200 (Phone), (801) 222-0112 (Fax)
Addresses:
777 N Palisades Dr, Orem, UT 84097
Rr 3Boxa-10, Provo, UT 84604
Directors:
Betty H. Mcelroy (Psychiatry),Richard Lofee (President),Gary Fisher (Director of Operations),...
SIC:
8399 - Social Services, Not Elsewhere Classified
SIC6:
839902 - Alcoholism Information & Treatment Ctrs
Categories:
Gambling Abuse & Addiction Info & Treatment
Company size:
4

CIRQUE LODGE, INC

777 N Palisade Dr Orem Utah 84097 Rr 3 BOX A-10, Provo, UT 84604

Registration:
Feb 27, 1998
State ID:
1398294-0142
Business type:
Corporation - Domestic - Profit
Agent:
Richard S. Losee,777 N Palisade Dr Orem Utah 84097 Rr 3 BOX A-10, Provo, UT 84604 (Physical)

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