Provider Demographics
NPI:1730163742
Name:TWIN COUNTY RECOVERY SERVICES INC
Entity type:Organization
Organization Name:TWIN COUNTY RECOVERY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-751-2083
Mailing Address - Street 1:350 POWER AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2447
Mailing Address - Country:US
Mailing Address - Phone:518-751-2083
Mailing Address - Fax:518-828-4712
Practice Address - Street 1:350 POWER AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2447
Practice Address - Country:US
Practice Address - Phone:518-828-9300
Practice Address - Fax:518-828-4712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070111087324500000X
NY070111088324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
111934OtherWELLCARE
29199OtherBCBS (GREENE COUNTY)
7341399OtherEMPIRE PLAN
000400493001OtherBLUE SHIELD (COLUMBIA CO)
000400493002OtherBLUE SHIELD (GREENE CO)
85006OtherMVP
10028759OtherCDPHP
165760000OtherMAGELLAN (COL CO)
NY00756318Medicaid
175952000OtherMAGELLAN (GREENE COUNTY)
25890OtherBCBS (COLUMBIA COUNTY)
321354OtherVALUE OPTION