Provider Demographics
NPI:1659533768
Name:PROJECT HOPE FOUNDATION
Entity Type:Organization
Organization Name:PROJECT HOPE FOUNDATION
Other - Org Name:HOPEREACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:864-706-6835
Mailing Address - Street 1:751 EAST GEORGIA ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388
Mailing Address - Country:US
Mailing Address - Phone:864-476-7400
Mailing Address - Fax:864-476-0033
Practice Address - Street 1:751 EAST GEORGIA ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388
Practice Address - Country:US
Practice Address - Phone:864-476-7400
Practice Address - Fax:864-476-0033
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROJECT HOPE FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEXG304Medicaid