Healthcare Provider Details

I. General information

NPI: 1780216291
Provider Name (Legal Business Name): AMERICAN DAY CD CENTERS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 HIGH ST
NORWALK CT
06851-4723
US

IV. Provider business mailing address

680 AMERICAN AVE
KING OF PRUSSIA PA
19406-4023
US

V. Phone/Fax

Practice location:
  • Phone: 203-803-4170
  • Fax:
Mailing address:
  • Phone: 610-644-6464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRENDA NOEL
Title or Position: CONTRACTS AND CREDENTIALING
Credential:
Phone: 610-644-6464