# HUDSON MOHAWK RECOVERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275082562
- **Authorized official:** MRS. MARY DELORY CASAC (TROY CLINIC DIRECTOR)
- **Authorized official phone:** (518) 272-3918

## Contact information

- **Practice address:** 1724 5TH AVE, TROY, NY 12180-3541
- **Practice address phone:** (518) 272-3918
- **Practice address fax:** (518) 272-6391
- **Mailing address:** 1724 5TH AVE, TROY, NY 12180-3541
- **Mailing address phone:** (518) 272-3918
- **Mailing address fax:** (518) 272-6391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 30911 | NY | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 09/27/2016