Daymark Recovery Services Inc
Organization Active NPI Psychiatry Physician · Jefferson, NC
NPI 1184900615 · NPPES record last updated May 2, 2019
Key facts
- NPI
- 1184900615
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- DAYMARK RECOVERY SERVICES INC
- Practice address
- 101 Colvard St Unit 1
Jefferson, NC 28640-9797 - Phone
- (336) 246-4542
- Fax
- (336) 246-2364
- NPI assigned
- Oct 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Billy R West Jr., M.S.W.,L.C.S.W
- Title
- Executive Director
- Phone
- (704) 939-1100
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Daymark Recovery Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
101 Colvard St Unit 1
Jefferson, NC 28640-9797
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1894
Other practice location 1
101 Colvard St
Unit 1
Jefferson, NC 28640-9797
Phone (336) 246-4542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3410027 | Medicaid | NC |
Other providers in Jefferson, NC
- Jacob Culler
- Harrison Alexander Daves
- Jessica Stroud Davis
- Daymark Recovery .Services Inc
- Daymark Recovery Service Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Anna Debord
- Emily Michelle Denny
- Sharon Patricia Dilley
All providers in Jefferson, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.