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Organization

SHARE OUR SELVES CORPORATION

Active
Other names
SOS Center for Health and Innovation
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY WARD (CEO)
(949) 536-3927
Entity
Organization

Contact information

Practice address
20151 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1794
(949) 270-2100
Mailing address
PO BOX 10159, COSTA MESA, CA 92627-0050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
05/11/2017
Last updated
07/29/2020
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