Organization
DAYMARK RECOVERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY R WEST JR. MSW LCSW (EXECUTIVE DIRECTOR)
(704) 939-1100
Entity
Organization
Contact information
Practice address
701 E ROOSEVELT BLVD STE 600, MONROE, NC 28112-4106
(704) 296-6200
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302315
—
NC
Enumeration date
06/10/2008
Last updated
06/12/2023
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