Cayuga Addiction Recovery Services Outpatient Program
LBN: Ithaca Alpha House Center, Inc.
Cayuga Addiction Recovery Services Outpatient Program is an health care organization with primary practice located at 334 W State St , Ithaca NY 14850-5432. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Ithaca Alpha House Center, Inc. can be contacted via phone (607) 273-5500, or through Oaks, Susan M via phone (607) 387-5535.
Contact Information
Primary practice address
334 W State St
Ithaca NY 14850-5432
Phone: (607) 273-5500
Fax: (607) 273-1277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 070510837 | New York |
Profile Details
| NPI number | 1548262363 |
|---|---|
| LBN Legal business name | Ithaca Alpha House Center, Inc. |
| DBA Doing business as | Cayuga Addiction Recovery Services Outpatient Program |
| Authorized official | Oaks, Susan M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Oct 2nd, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548262363 | NPPES |
| New York | MEDICAID | 01292828 |
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