Daymark Recovery Services Inc
Organization Active NPI Neurology Physician · Lillington, NC
NPI 1457589343 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1457589343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- DAYMARK RECOVERY SERVICES INC
- Practice address
- 5841 US 421 S
Lillington, NC 27546-6713 - Phone
- (910) 893-5727
- Fax
- (910) 893-6404
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
5841 US 421 S
Lillington, NC 27546-6713
Mailing address
284 Executive Park Drive
Concord, NC 28025-1894
Phone (704) 939-1100
Other practice location 1
5841 US 421 South
Buies Creek, NC 27506-0457
Phone (910) 893-5727
NPI Registry JSON
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1457589343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DRIVE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251894",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 US 421 S",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466713",
"telephone_number": "910-893-5727",
"fax_number": "910-893-6404"
}
],
"practiceLocations": [
{
"address_1": "5841 US 421 South",
"address_purpose": "LOCATION",
"city": "BUIES CREEK",
"state": "NC",
"postal_code": "275060457",
"country_code": "US",
"telephone_number": "910-893-5727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAYMARK RECOVERY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-939-1100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.S.W., L.C.S.W."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
- Neema Dave
- David P. Price, DDS, PA
- George Davies
- Daymark Recovery Center
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Johnathan Donald Debetta
- Michelle D Deblaquiere
- Olivia Del Valle
- Mercedes Delgado910
All providers in Lillington, NC · Neurology 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 Mar 17, 2018. 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.