Organization
DAYMARK RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOSTER L WILKINS LCAS (SUBSTANCE ABUSE COUNSELOR)
(336) 254-7303
Entity
Organization
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4180
(336) 254-7303
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(336) 254-7303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3381-A
NC
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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