Organization
DAYMARK RECOVERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY RAY WEST JR. MSW,LCSW (CEO PRESIDENT)
(704) 939-1100
Entity
Organization
Contact information
Practice address
518 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625
(704) 873-1114
(704) 873-9917
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/21/2017
Last updated
06/12/2018
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