| Cayuga Addiction Recovery Services | |
|
334 W State St Ithaca NY 14850-5432 | |
| (607) 273-5500 | |
| Not Available |
| Full Name | Cayuga Addiction Recovery Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 334 W State St, Ithaca, New York |
| Authorized Official Name and Position | Anthony Michael Lambert Johnston (PRIMARY ADDICTIONS COUNSELOR) |
| Authorized Official Contact | 6072735500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cayuga Addiction Recovery Services 477 Nelson Rd Apartment Ithaca NY 14850-9437 Ph: (607) 229-0170 | Cayuga Addiction Recovery Services 334 W State St Ithaca NY 14850-5432 Ph: (607) 273-5500 |
| NPI Number | 1043686314 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043686314 | NPI | - | NPPES |
| 095740 | Other | NY | NYS OFFICE OF THE PROFESSIONS - LMSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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