Columbia County
Coordinated Opioid And Stimulant Treatment (COAST)
A network of substance use specialists that provide people with opioid and stimulant addiction prevention, treatment, and recovery services that they need instantaneously.
Call: 866-930-4999
Columbia County Pathways to Recovery
RCO for individuals and families impacted by substance use disorder. CCPR offers Support Groups, Coffee Hour, Young Adult Programming, AA meetings.
Call: 877-467-3365
Twin County Recovery Services
Serves both Columbia & Greene County and is a licensed medically supervised out-patient clinic. Support groups, residential programs, MAT, Prevention.
Columbia Clinic: 518-751-2083
Greene Clinic: 518-943-2036
Youth Clubhouses-
Catskill/Hudson
The Clubhouses promote long-term recovery through recreation, pro-social activities, skill building opportunities, education, and activities centered on overall health and wellness.
Text or Call: 518-567-7771
Greene County
Greener Pathways Mobile Outreach 
Serves both Columbia & Greene offers caring, compassionate Certified Recovery Peer Advocates (CRPA) and mobile outreach van.
Call: 518-291-4500 Or Text: 518-822-7437
Greene County Family Planning
Low threshold access to same day, basic peer recovery services and Medicated Assisted Treatment. Total abstinence is NOT a requirement.
Call: 518-719-3580
Mountaintop Cares Coalition
Provides peer services, outreach, community education, support groups linkage and referral for resources and more!
Call: 877-467-3365
Youth Clubhouses-Catskill/Hudson
The Clubhouses promote long-term recovery through recreation, pro-social activities, skill building opportunities, education, and activities centered on overall health and wellness.
Text or Call: 518-567-7771
Forms of Treatment
- Medicated Assisted Treatment Providers
- Detoxification
- Cognitive and behavioral therapies
- Contingency management
- Family Therapy
Treatment Settings
- Treatment Providers
- Outpatient counseling
- Intensive outpatient treatment
- Inpatient treatment
- Long-term therapeutic communities, such as sober living communities
Local Helplines
Columbia Pathways to Recovery Helpline: 877-HOPE-3365 or 877-467-3365 operates 9am to 9pm 7 days a week
State Helplines
1-877-8-HOPENY
(1-877-846-7369) OASAS Helpline
Whether you are struggling with gambling, alcohol, drugs or suicide, anonymous and confidential support is available. Call the toll-free OASAS HOPE line at 1-877-846-7369. All calls are confidential.
988 Suicide & Crisis Lifeline:
If your life or someone else’s is in imminent danger, please call 911. If you are in crisis and need immediate help, please call: 988
National Helpline
Call:1-800-662-4357 (HELP) or 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders.
