| Statewide Outreach Project Llc | |
|
396 Saint Paul St Suite 1111 Carolina Office Building Orangeburg SC 29115-5465 | |
| (888) 992-5534 | |
| (866) 408-8142 |
| Full Name | Statewide Outreach Project Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 396 Saint Paul St, Orangeburg, South Carolina |
| Authorized Official Name and Position | Juenarrl Keith (EXECUTIVE MINISTER) |
| Authorized Official Contact | 8439935534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statewide Outreach Project Llc Po Box 2863 Orangeburg SC 29116-2863 Ph: () - | Statewide Outreach Project Llc 396 Saint Paul St Suite 1111 Carolina Office Building Orangeburg SC 29115-5465 Ph: (888) 992-5534 |
| NPI Number | 1043320146 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043320146 | NPI | - | NPPES |
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