Organization
SOUTH BROAD STREET COUNSELING SERVICES INC
Active
Organization
SOUTH BROAD STREET COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON H SCOTT PHD (EXECUTIVE DIRECTOR)
(609) 394-8000
Entity
Organization
Contact information
Practice address
1418 SOUTH BROAD STREET, TRENTON, NJ 08610
(609) 394-8000
Mailing address
1418 SOUTH BROAD STREET, TRENTON, NJ 08610
(609) 394-8000
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2000283
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006033
SAI PROVIDER NUMBER
NJ
05
—
8937401
—
NJ
Enumeration date
07/05/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up