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DAYMARK RECOVERY SERVICES INC

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1083763536

Organization Information:
Organization Name:  DAYMARK RECOVERY SERVICES INC
Organization is not Subpart
Authorized Official:  BILLY R WEST  PRESIDENT  704-939-1100

Practice Location:
650 HIGHLAND AVE STE 100  WINSTON SALEM, NC 27101-4304 US
Tel: 336-607-8523  Fax: 336-773-0916

Business Mailing Address:
284 EXECUTIVE PARK DRIVE SUITE 100 CONCORD, NC 28025-1894 US
Tel: 704-939-1100  Fax: 704-939-1173

NPI Information:
NPI: 1083763536
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N101YP2500XBehavioral Health & Social Service Providers
Counselor
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
N2084P0800XPhysicians
Psychiatry & Neurology
N2084P0804XPhysicians
Psychiatry & Neurology
Y261QM1300XAmbulatory Health Care Facilities
Clinic/Center
NCMHL-034-154

Other Provider Identifiers:

IssuerNumberStateType
6005642NC05



American Medical Association 2012 taxonomy code information

Code: 261QM1300X

Type:

Classification:



Definition:



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