Organization
DAYMARK RECOVERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY R WEST JR. L.C.S.W. (PRESIDENT)
(704) 939-1100
Entity
Organization
Contact information
Practice address
650 HIGHLAND AVE STE 110, WINSTON SALEM, NC 27101-4367
(336) 607-8523
(336) 773-0916
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
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
MHL-034-154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005642
—
NC
Enumeration date
01/10/2007
Last updated
08/16/2023
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