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Organization
ITHACA ALPHA HOUSE CENTER, INC.
Active
Organization
ITHACA ALPHA HOUSE CENTER, INC.
Active
Parent organization
ITHACA ALPHA HOUSE CENTER, INC.
Other names
Cayuga Addiction Recovery Services Outpatient Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ITHACA ALPHA HOUSE CENTER, INC.
Authorized official
MS. SUSAN M OAKS (CHIEF FINANCIAL OFFICERE)
(607) 387-5535
Entity
Organization
Contact information
Practice address
334 W STATE ST, ITHACA, NY 14850-5432
(607) 273-5500
(607) 273-1277
Mailing address
38 EAST MAIN STREET, PO BOX 724, TRUMANSBURG, NY 14886
(607) 387-5535
(607) 387-5526
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
070510837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292828
—
NY
Enumeration date
08/11/2005
Last updated
10/02/2016
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