Organization
ITHACA ALPHA HOUSE CENTER, INC.
Active
Parent organization
ITHACA ALPHA HOUSE CENTER, INC.
Other names
Cayuga Addiction Recovery Services Residential Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ITHACA ALPHA HOUSE CENTER, INC.
Authorized official
SUSAN OAKS (CHIEF FINANCIAL OFFICER)
(607) 387-5535
Entity
Organization
Contact information
Practice address
6621 NYS ROUTE 227, TRUMANSBURG, NY 14886-0724
(607) 387-5535
(607) 387-5526
Mailing address
PO BOX 724, 38 E MAIN ST., TRUMANSBURG, NY 14886-0724
(607) 387-5535
(607) 387-5526
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
171212037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292828
—
NY
Enumeration date
10/17/2016
Last updated
10/17/2016
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