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NPI Code Detail

MEDICARE: DAYMARK RECOVERY SERVICES INC

MEDICARE: DAYMARK RECOVERY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1992412431
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYMARK RECOVERY SERVICES INC
Provider Business Mailing Address
First Line : 284 EXECUTIVE PARK DR STE 100
Second Line :
City : CONCORD
State : NC
Zip : 28025-1833
Country : US
Telephone Number : 704-939-1133
Fax Number :
Provider Business Practice Location Address
First Line : 616 COLONNADE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-6827
Country : US
Telephone Number : 704-939-1133
Fax Number : 704-983-2636
Authorized Official
Title or Position : CEO
Name : MR. BILLY RAY WEST JR.
Credential : LCSW, MSW
Telephone Number : 704-939-1133
Provider Enumeration Date : 11/03/2022
Last Update Date : 11/03/2022

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Directions to “DAYMARK RECOVERY SERVICES INC ” Practice Location

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