Ithaca Alpha House Center, Inc.

NPI #1548262363 in Ithaca, New York

Provider Information

NPI Number: 1548262363
Entity Type: Organization
Organization Name: Ithaca Alpha House Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: ITHACA ALPHA HOUSE CENTER, INC.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 11, 2005
Last Updated: Oct 2, 2016

Practice Location

Address: 334 W STATE ST
City: Ithaca
State: New York
ZIP Code: 14850-5432
Phone: (607) 273-5500

Authorized Official

Name: MS. SUSAN M OAKS
Title: CHIEF FINANCIAL OFFICERE
Phone: (607) 387-5535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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