| Organization Name: | SOUTH BROAD STREET COUNSELING SERVICES INC |
| NPI Number: | 1003014663 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLINTON H SCOTT (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1418 South Broad Street Trenton |
| State: | NJ US |
| Postal Code: | 08610 |
| Phone Number: | 6093948000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 2000283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |