Provider Demographics
NPI:1508394842
Name:CENTER, ADAM B (BS CADC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:B
Last Name:CENTER
Suffix:
Gender:M
Credentials:BS CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 LAWSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-2031
Mailing Address - Country:US
Mailing Address - Phone:302-233-6898
Mailing Address - Fax:
Practice Address - Street 1:100 SUNNYSIDE RD BLDG 1
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1752
Practice Address - Country:US
Practice Address - Phone:302-653-3923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1616101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)