Provider Demographics
NPI:1437380532
Name:OCAB COMMUNITY ACTION AGENCY
Entity Type:Organization
Organization Name:OCAB COMMUNITY ACTION AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-536-1027
Mailing Address - Street 1:POST OFFICE DRAWER 710
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29116-0710
Mailing Address - Country:US
Mailing Address - Phone:803-536-1027
Mailing Address - Fax:803-536-4657
Practice Address - Street 1:1822 JOE S JEFFORDS HWY
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-7470
Practice Address - Country:US
Practice Address - Phone:803-536-1027
Practice Address - Fax:803-536-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty