Organization
DAYMARK RECOVERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY R WEST JR. (PRESIDENT)
(704) 939-1100
Entity
Organization
Contact information
Practice address
701 E ROOSEVELT BLVD STE 600, MONROE, NC 28112-4106
(704) 296-6200
(704) 296-4669
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
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
MHL-090-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005643
—
NC
Enumeration date
01/25/2007
Last updated
06/12/2023
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