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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1437692241 |
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| LBN Legal business name | CIRQUE LODGE INC | ||||
| Authorized official | GARY FISHER - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/28/2016 | ||||
| Last updated | 11/28/2016 - About 10 years ago | ||||
| Identifiers |
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CIRQUE LODGE INC
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CIRQUE LODGE INC