Organization
DAYMARK RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIRDRE ANN POLSGROVE BS (CLINICIAN)
(704) 939-1100
Entity
Organization
Contact information
Practice address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
DEIRDRE POLSGROVE
NC
Enumeration date
08/08/2013
Last updated
08/08/2013
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