Provider Demographics
NPI:1396176418
Name:TWIN OAKS COMMUNITY SERVICES
Entity type:Organization
Organization Name:TWIN OAKS COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMITA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TYREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-482-8747
Mailing Address - Street 1:1901 FILMORE ST APT A
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08104-2277
Mailing Address - Country:US
Mailing Address - Phone:845-246-1053
Mailing Address - Fax:
Practice Address - Street 1:1901 FILMORE ST APT A
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08104-2277
Practice Address - Country:US
Practice Address - Phone:856-246-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-01
Last Update Date:2013-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization