Healthcare Provider Details

I. General information

NPI: 1518036342
Provider Name (Legal Business Name): OPPORTUNITY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 BOWERS STREET
WILMINGTON DE
19802
US

IV. Provider business mailing address

3030 BOWERS STREET
WILMINGTON DE
19802
US

V. Phone/Fax

Practice location:
  • Phone: 302-762-0300
  • Fax: 302-762-8795
Mailing address:
  • Phone: 302-762-0300
  • Fax: 302-762-8795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number StateDE

VIII. Authorized Official

Name: MR. BRUCE PATTERSON
Title or Position: VP OF METRO REGION
Credential:
Phone: 703-461-6140