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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
280 EXECUTIVE PARK DR STE 160, CONCORD, NC 28025-1841
(704) 939-1100
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
101YM0800X
Mental Health Counselor
163WP0808X
Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
251S00000X
Community/Behavioral Health Agency
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
MHL-013-140
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301892
NC
05
8301892C
NC
05
8301892M
NC
Enumeration date
02/22/2007
Last updated
03/29/2018
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