NPI 1043320146
Statewide Outreach Project LLC
Practice location
- Address
- 396 Saint Paul St Suite 1111 Carolina Office Building, Orangeburg, SC 29115-5465
- Phone
- (888) 992-5534
- Fax
- (866) 408-8142
- Mailing address
- PO Box 2863, Orangeburg, SC 29116-2863
Authorised official
- Name
- Juenarrl Keith
- Title
- Executive Minister
- Phone
- (843) 993-5534
Registered specialties (4)
Community/Behavioral Health Agency
Primary
Social Worker
Psychiatry Physician
Registry record
- NPI
- 1043320146
- Entity type
- Organization
- NPI issued
- 30 Aug 2006
- Record last updated
- 20 Apr 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.