33D2169558 CLIA NUMBER - CAYUGA ADDICTION RECOVERY SERVICES RESIDENTIAL PROGRAM

Laboratory Demographics

CLIA Number: 33D2169558

Facility Name: CAYUGA ADDICTION RECOVERY SERVICES RESIDENTIAL PROGRAM

Facility Address:
6621 RTE 227
TRUMANSBURG, NY
ZIP 14886
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Facility Phone Number: 607 273-5500

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1043686314

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	33D2169558
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	CAYUGA ADDICTION RECOVERY SERVICES RESIDENTIAL PROGRAM
Street	6621 RTE 227
City	TRUMANSBURG
State	NY
ZIP	14886
Phone	607 273-5500
CertificateType	4
CertificateEffectiveDate	7/23/2019
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024