Organization
SHARE OUR SELVES CORPORATION
Active
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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