CAYUGA ADDICTION RECOVERY SERVICES NPI 1043686314

NPI Details

CAYUGA ADDICTION RECOVERY SERVICES is a community behavioral health in Ithaca, NY. The provider is 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. CAYUGA ADDICTION RECOVERY SERVICES NPI is 1043686314. The provider is registered as an organization entity type.

The provider's business location address is:

334 W STATE ST
ITHACA, NY
ZIP 14850-432
Phone: (607) 273-5500

The provider's authorized official is Anthony Michael Lambert Johnston .
The authorized official title is Primary Addictions Counselor and has the following contact phone number (607) 273-5500.

The CLIA number assigned to this NPI record is 33D2169558 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2015 and was last updated on 8/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.