Organization
DAYMARK RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY R WEST JR. MSW, LCSW (EXECUTIVE DIRECTOR)
(704) 939-1133
Entity
Organization
Contact information
Practice address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
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
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
MHL-013-056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005370
—
NC
Enumeration date
05/02/2006
Last updated
10/21/2021
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