Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF TWIN LAKES CENTER, INC. IS THE EXEMPT ENTITY UPMC SOMERSET (FKA SOMERSET COMMUNITY HOSPITAL). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE EXEMPT ENTITY UPMC SOMERSET (FKA SOMERSET COMMUNITY HOSPITAL) APPOINTS THE BOARD MEMBERS OF TWIN LAKES CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | DURING THE INTEGRATION PERIOD, THE DECISIONS AND ACTIONS SPECIFIED IN PARAGRAPHS (I) - (VIII) BELOW SHALL REQUIRE THE APPROVAL OF BOTH THE MEMBER AND UPMC. SUCH DECISIONS AND ACTIONS MAY NOT BE TAKEN BY THE CORPORATION WITHOUT THE SEPARATE CONCURRENCE OF THE MEMBER AND UPMC. THE MEMBER AND UPMC SHALL TOGETHER HAVE THE POWER AND AUTHORITY TO MAKE ANY SUCH DECISIONS AND INITIATE AND IMPLEMENT ANY SUCH ACTIONS (AND THEY MAY, BUT NEED NOT SEEK, THE CONCURRENCE OR APPROVAL OF THE BOARD OF THE CORPORATION). (I) OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (II) ENTERING INTO NEW OR MATERIALLY CHANGING EXISTING JOINT VENTURE ARRANGEMENTS OF THE CORPORATION; (III) THE TERMS OF ANY MANAGEMENT ARRANGEMENTS WITH AN UNRELATED THIRD PARTY; (IV) ANY CHANGE IN THE CORPORATE STRUCTURE OF THE CORPORATION (INCLUDING BY MERGER, CONSOLIDATION, LIQUIDATION OR CREATION OF PARENT OR SUBSIDIARY ENTITIES); (V) ANY SALE, LEASE, JOINT VENTURE, ACQUISITION, MERGER, CONSOLIDATION, AFFILIATION, MEMBERSHIP TRANSFER OR OTHER TRANSACTION, WHETHER WITHIN THE UPMC SYSTEM OR EXTERNAL THERETO, INVOLVING SUBSTANTIALLY ALL OF THE ASSETS OR BUSINESS OR SIGNIFICANT PRODUCT LINES OF THE CORPORATION; (VI) THE DETERMINATION THAT THE CORPORATION WILL NO LONGER BE LICENSED OR OPERATED AS LICENSED OR OPERATED PRIOR TO THE CLOSING DATE; (VII) ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (VIII) SALE OF ANY REAL ESTATE OF THE CORPORATION; |
| FORM 990, PART VI, SECTION B, LINE 11B | TWIN LAKES CENTER, INC. HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | UPMC REQUIRES ALL OF ITS KEY EMPLOYEES AND NON-EMPLOYED PERSONNEL TO COMPLY WITH ITS CONFLICT OF INTEREST POLICIES WHEN THEY ENGAGE IN UPMC-RELATED BUSINESS. PEOPLE COVERED BY THE POLICIES INCLUDE: -UPMC ENTITY BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CORPORATE OFFICERS -UPMC PHYSICIANS AND NON-PHYSICIAN EMPLOYEES WHO HOLD A POSITION OF INFLUENCE -NON-EMPLOYED MEMBERS OF THE UPMC MEDICAL STAFF WHO HOLD A POSITION OF INFLUENCE OF TRUST -INDIVIDUALS CONDUCTING CLINICAL RESEARCH AT UPMC, WHETHER OR NOT THEY ARE EMPLOYED BY UPMC. THESE PEOPLE ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AT LEAST ANNUALLY. AN ELECTRONIC FORM HAS BEEN DEVELOPED TO CAPTURE THE DATA FROM THE QUESTIONNAIRE AND TO MONITOR COMPLETION. THE INFORMATION, ALONG WITH OTHER DATA, IS USED TO CAPTURE INDIVIDUAL AND INSTITUTIONAL RELATIONSHIPS SO THAT POTENTIAL CONFLICTS OF INTEREST CAN BE IDENTIFIED. IF A POTENTIAL CONFLICT IS IDENTIFIED REGARDING A SPECIFIC UPMC ACTIVITY THE CORPORATE COMPLIANCE DEPARTMENT, WITH THE ASSISTANCE OF THE LEGAL DEPARTMENT, EVALUATE THE ACTIVITY IN RELATION TO THE POTENTIAL CONFLICT. IF A PERCEIVED OR ACTUAL CONFLICT IS DETERMINED TO EXIST AND A DECISION IS MADE TO PROCEED WITH THE ACTIVITY, A WRITTEN PLAN DESIGNED TO PREVENT THE CONFLICT FROM INFLUENCING DECISIONS RELATED TO THE ACTIVITY IS DEVELOPED. THE PROCESS IS ULTIMATELY OVERSEEN BY A CONFLICT OF INTEREST COMMITTEE OF THE UPMC BOARD OF DIRECTORS ON BEHALF OF ALL UPMC SUBSIDIARIES, INCLUDING TWIN LAKES CENTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | UPMC HAS ESTABLISHED A RIGOROUS COMPENSATION REVIEW PROCESS FOR ITS TOP EXECUTIVES WHICH INCLUDES REVIEW BY ITS EXECUTIVE COMPENSATION COMMITTEE IN A PROCESS INTENDED TO SATISFY THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" SET FORTH IN THE REGULATIONS TO SECTIONS 4958 OF THE INTERNAL REVENUE CODE. UPMC GIVES AUTHORITY TO THOSE EXECUTIVES TO ESTABLISH THE COMPENSATION OF EXECUTIVES OF OTHER SUBSIDIARIES AND BUSINESS UNITS, INCLUDING THOSE OF TWIN LAKES CENTER. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPMC'S PUBLIC WEBSITE (WWW.UPMC.COM) MAKES ITS FINANCIAL RESULTS, CONFLICT OF INTEREST PROCESS, AND VARIOUS INFORMATION ABOUT GOVERNANCE AND OVERSIGHT AVAILABLE TO THE PUBLIC. ADDITIONAL INFORMATION MAY BE SUPPLIED UPON SPECIFIC REQUEST FOR DATA NOT POSTED TO THE WEBSITE. |
| FORM 990, PART XII, LINE 2: | AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, WHICH INCLUDES ALL SUBORDINATE MEMBERS OF THE UPMC GROUP, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2019. UPMC HAS AN AUDIT COMMITTEE THAT IS ESTABLISHED TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES BY MONITORING UPMC CONSOLIDATED FINANCIAL REPORTS AND OTHER FINANCIAL INFORMATION PROVIDED BY UPMC TO GOVERNMENTAL BODIES, THE PUBLIC OR OTHER EXTERNAL ENTITIES. THE UPMC'S SYSTEM OF INTERNAL CONTROLS REGARDING FINANCE, ACCOUNTING, LEGAL COMPLIANCE AND ETHICS THAT MANAGEMENT AND THE BOARD HAVE ESTABLISHED AND UPMC'S INTERNAL AUDITING, ACCOUNTING AND FINANCIAL REPORTING PROCESSES ALSO PROVIDED OVERSIGHT. |
| FORM 990, PART III, LINE 4A: | TWIN LAKES CENTER WAS ESTABLISHED IN 1983 AND IS LOCATED ON 30 ACRES OF LAND JUST NORTH OF SOMERSET, PA. TWIN LAKES OFFERS A FULL RANGE OF SUD SERVICES INCLUDING DETOXIFICATION, ADULT RESIDENTIAL, THREE LEVELS OF OUTPATIENT, DUI SERVICES, AND PREVENTION/EDUCATION SERVICES. ALL TWIN LAKES CENTER SERVICES AND LOCATIONS ARE LICENSED BY DDAP. THE GOAL OF THE DETOX AND RESIDENTIAL PROGRAM IS THAT ALL PATIENTS SUCCESSFULLY COMPLETE TREATMENT AND SEEK A DRUG FREE FUTURE. THIS IS A 12-STEP PROGRAM THAT COMBINES THE USE OF POSITIVE SUPPORTS AND OTHER EVIDENCED BASED TREATMENTS TO PROMOTE HEALTHY LIVING AMONG THE PATIENTS AFTER COMPLETION. TWIN LAKES CENTER IS LICENSED FOR 7 DETOX BEDS AND 33 RESIDENTIAL BEDS. TWIN LAKES CENTER IS CAPABLE OF PROVIDING TREATMENT SERVICES TO SUBSTANCE DEPENDENT INDIVIDUALS FROM AGE EIGHTEEN AND UP. PRIORITY POPULATIONS INCLUDE: PREGNANT INJECTION DRUG USERS, PREGNANT SUBSTANCE USERS, INJECTION DRUG USERS, OVERDOSE SURVIVORS AND VETERANS. PROGRAMS: - NON-HOSPITAL DETOXIFICATION - 24 HOURS UNDER THE DIRECTION OF THE MEDICAL DOCTOR. PATIENTS STAY IN DETOX UNTIL THEY ARE MEDICALLY STABLE TO TRANSFER INTO A LESS INTENSIVE LEVEL OF CARE. ON AVERAGE, THE STAY IN TRADITIONAL DETOX IS 1 - 3 DAYS. THE MEDICAL DIRECTOR ALSO PROVIDES TREATMENT FOR A WIDE RANGE OF MEDICAL PROBLEMS IN THE RESIDENTIAL PROGRAM. - NON-HOSPITAL BASED BUPRENORPHINE DETOXIFICATION UNDER THE DIRECTION OF THE MEDICAL DOCTOR. BUPRENORPHINE DETOXIFICATION IS AVAILABLE TO THOSE MEETING SPECIFIC CRITERIA. BUPRENORPHINE IS USED TO AID IN REDUCTION OF WITHDRAWAL SYMPTOMS AND CRAVINGS, AND TO PERMIT THE PATIENT TO MORE FULLY PARTICIPATE IN THE TREATMENT PROGRAM. PATIENTS ARE ADMITTED TO THE DETOX UNIT, AT THE DETOXIFICATION RATE FOR APPROXIMATELY 1- 3 DAYS, WHILE STABILIZATION OCCURS. THE PATIENT IS THEN MOVED TO THE RESIDENTIAL UNIT, AND RATE, FOR APPROXIMATELY 7 - 10 DAYS. THE PATIENT MUST BE WILLING TO COMMIT TO A TREATMENT STAY OF AT LEAST 12 - 14 DAYS TO PERMIT THE DETOXIFICATION PHASE AND TAPERING OFF OF BUPRENORPHINE. - INPATIENT REHABILITATION - 24 HOURS ADULT RESIDENTIAL REHABILITATION TWIN LAKES CENTER OFFERS VARIABLE LENGTH OF STAY FOR ADULTS IN OUR RESIDENTIAL PROGRAM. PATIENTS RECEIVE: 10 HOURS OF GROUP THERAPY PER WEEK, 1 HOUR OF INDIVIDUAL THERAPY PER WEEK, 6 HOURS OF RECREATION THERAPY PER WEEK, A FAMILY WELLNESS PROGRAM, AS WELL AS A FOUR-WEEK ROTATION OF LECTURES, EDUCATIONAL PROGRAMMING AND RELAPSE TRACT. PATIENTS ARE INTRODUCED TO THE AA/NA FELLOWSHIP WITH DAILY MEETINGS AND RECEIVE INDIVIDUALIZED TREATMENT PLANS BASED ON THE ASSESSMENT. OUR MALE AND FEMALE UNITS AND PROGRAMS ARE SEPARATE TO ALLOW THE CLIENTS TO FOCUS ON THEMSELVES AND THEIR TREATMENT. - PARTIAL HOSPITALIZATION - MONDAY THROUGH FRIDAY THE SOMERSET AND JOHNSTOWN PROGRAMS HAVE A PARTIAL PROGRAM DESIGNED TO BE A STEP BETWEEN IOP AND THE RESIDENTIAL PROGRAM. THE PARTIAL PROGRAM IS LICENSED BY DDAP AND OPERATES MONDAY THROUGH FRIDAY. INDIVIDUALS IN THIS LEVEL OF CARE RECEIVE 20 HOURS OF GROUP AND TWO INDIVIDUAL SESSIONS PER WEEK. THE USUAL LENGTH OF STAY IN THIS LEVEL OF CARE IS 6 WEEKS. - OUTPATIENT/INTENSIVE OUTPATIENT - MONDAY THROUGH FRIDAY 7:30 A.M. - 8:00 P.M. TWIN LAKES HAS OUTPATIENT/INTENSIVE OUTPATIENT OFFICES IN FIVE LOCATIONS (SOMERSET, JOHNSTOWN, EBENSBURG, BEDFORD, AND MEYERSDALE). THESE OFFICE HOURS VARY BASED ON LOCATION. IN OUR SOMERSET OFFICE, WE OFFER PREVENTION SERVICES, DRUG COURT PARTICIPATION AND A WEEKEND DUI PROGRAM. - ASSESSMENTS - MONDAY THROUGH FRIDAY 7:30 A.M. - 8:00 P.M. TWIN LAKES CONDUCTS ASSESSMENTS ON INDIVIDUALS SEEKING DRUG AND ALCOHOL SERVICERS TO ENSURE THAT THE INDIVIDUAL IS RECOMMENDED TO THE APPROPRIATE LEVEL OF CARE. RECOMMENDATIONS ARE PROVIDED BASED ON THE CRITERIA MET THROUGH THE ASAM. |
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