Organization
DAYMARK RECOVERY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY R WEST JR. L.C.S.W. (PRESIDENT)
(704) 939-1100
Entity
Organization
Contact information
Practice address
651 HIGHLAND AVE, WINSTON SALEM, NC 27101-4303
(336) 657-8523
(336) 723-0645
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
284300000X
Special Hospital
Primary
MHL-034-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300314
—
NC
Enumeration date
01/25/2007
Last updated
04/04/2008
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