Provider Demographics
NPI:1275965113
Name:DAYMARK RECOVERY SERVICES
Entity Type:Organization
Organization Name:DAYMARK RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IIH TEAM LEAD
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIANN
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:828-733-5889
Mailing Address - Street 1:360 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-9670
Mailing Address - Country:US
Mailing Address - Phone:828-733-5889
Mailing Address - Fax:828-733-8743
Practice Address - Street 1:360 BEECH ST
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-9670
Practice Address - Country:US
Practice Address - Phone:828-733-5889
Practice Address - Fax:828-733-8743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8082A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health