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Organization

DAYMARK RECOVERY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILLY R WEST JR. M.S.W.,L.C.S.W. (EXECUTIVE DIRECTOR)
(704) 939-1100
Entity
Organization

Contact information

Practice address
132 POPLAR GROVE CONNECTOR STE B, BOONE, NC 28607-5915
(828) 264-8769
Mailing address
284 EXECUTIVE PARK DR, SUTIE 100, CONCORD, NC 28025-1894

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3410027
NC
Enumeration date
10/28/2011
Last updated
11/04/2011
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