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
1400 WILLOW LN, N WILKESBORO, NC 28659-3551
(336) 667-5151
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410027
—
NC
Enumeration date
10/28/2011
Last updated
09/11/2015
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