Organization
DAYMARK RECOVERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY R WEST JR. M.S.W.,L.C.S.W. (EXECUTIVE DIRECTOR)
(704) 939-1100
Entity
Organization
Contact information
Practice address
101 COLVARD ST, UNIT 1, JEFFERSON, NC 28640-9797
(336) 246-4542
Mailing address
284 EXECUTIVE PARK DR, SUTIE 100, CONCORD, NC 28025-1894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410027
—
NC
Enumeration date
10/28/2011
Last updated
03/29/2018
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