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
1104 A SOUTH MAIN ST, LEXINGTON, NC 27292-3134
(336) 242-2450
(336) 249-9920
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
MHL-029-032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005707
—
NC
Enumeration date
02/07/2007
Last updated
09/01/2016
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