Organization · Type 2 NPI

Ithaca Alpha House Center, Inc.

Substance Abuse Rehabilitation Facility · Trumansburg, NY

NPI number 1497206221 Active

Practice location

6621 Nys Route 227
Trumansburg, NY 14886-0724

Call (607) 387-5535 Map

Fax (607) 387-5526

Mailing address

PO Box 724, 38 E Main St.
Trumansburg, NY 14886-0724

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	171212037 (NY)

Substance Abuse Rehabilitation Facility: 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.

NPI record

NPI: 1497206221
Entity type: Organization (Type 2)
Issued: Oct 17, 2016
Last updated: Oct 17, 2016
Status: Active
Subpart: Yes of Ithaca Alpha House Center, Inc.

Other names

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Cayuga Addiction Recovery Services Residential Program · doing business as

Authorized official

Susan Oaks
Chief Financial Officer
(607) 387-5535

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497206221

Ithaca Alpha House Center, Inc.'s National Provider Identifier is 1497206221, issued on Oct 17, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Trumansburg, NY. The record was last updated on Oct 17, 2016.