Provider Type Icon

DAYMARK RECOVERY SERVCIES INC NPI 1790807535


NPI Information

NPI: 1790807535
Provider Name: DAYMARK RECOVERY SERVCIES INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2157640

Address:
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 607-8523
Get Directions

DAYMARK RECOVERY SERVCIES INC is a community behavioral health in Winston Salem, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DAYMARK RECOVERY SERVCIES INC NPI is 1790807535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 HIGHLAND AVE STE 100
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 607-8523
Fax: (336) 773-0916

The provider's authorized official is Billy R West .
The authorized official title is President and has the following contact phone number (704) 939-1100.

The CLIA number assigned to this NPI record is 34D2157640 - other - outpatient/inpatient drug with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 5/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
41041C0700XSocial WorkerClinicalNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6291U00000XClinical Medical LaboratoryNo
7251S00000XCommunity/Behavioral HealthYes
8101YP2500XCounselorProfessionalNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18300309MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.