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
301 HOSPITAL ST, MOCKSVILLE, NC 27028-2060
(336) 791-2195
(336) 751-2699
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
261QM1300X
Multi-Specialty Clinic/Center
Primary
MHL-030-013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005639
—
NC
Enumeration date
01/25/2007
Last updated
04/07/2008
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