Statewide Outreach Project LLC
NPI #1043320146 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1043320146
- Entity Type
- Organization
- Organization Name
- Statewide Outreach Project LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Apr 20, 2016
Practice Location
- Address
- 396 SAINT PAUL ST
- Address 2
- SUITE 1111 CAROLINA OFFICE BUILDING
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-5465
- Phone
- (888) 992-5534
Authorized Official
- Name
- DR. JUENARRL KEITH, D.MIN.
- Title
- EXECUTIVE MINISTER
- Phone
- (843) 993-5534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Community/Behavioral Health |
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