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Organization

DAYMARK RECOVERY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILLY R WEST JR. (IS ANALYST)
(704) 939-1100
Entity
Organization

Contact information

Practice address
551 E C ST, KANNAPOLIS, NC 28083-4503
(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
251S00000X
Community/Behavioral Health Agency
Primary
MHL-013-057
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301155
NC
05
8301155R
NC
Enumeration date
04/04/2007
Last updated
10/03/2008
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