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Organization
SONSHINE COMMUNITY OUTREACH SERVICES
Active
Organization
SONSHINE COMMUNITY OUTREACH SERVICES
Active
Other names
Sonshine Community Outreach Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LEYTANYER CORNELIUS BA,CPSS,QP (CEO)
(704) 232-5327
Entity
Organization
Contact information
Practice address
607 GRANTS CROSSING LN, SPENCER, NC 28159-1563
(704) 232-5327
Mailing address
607 GRANTS CROSSING LN, SPENCER, NC 28159-1563
(704) 232-5327
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/13/2024
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