| Organization Name: | DAYMARK RECOVERY SERVICES, INC |
| NPI Number: | 1417002676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILLY R WEST (PRESIDENT) |
| Mailing Address: | 301 Hospital St Mocksville |
| State: | NC US |
| Postal Code: | 270282060 |
| Phone Number: | 3367912195 |
| Fax Number: | 3367512699 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 04/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | MHL-030-013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |