Organization
SIDEWALK SOLDIERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CORNELIUS (CEO)
(585) 336-7600
Entity
Organization
Contact information
Practice address
526 XENIA AVE, DAYTON, OH 45410-1824
(937) 949-1524
(937) 791-6613
Mailing address
526 XENIA AVE, DAYTON, OH 45410-1824
(513) 371-9292
(937) 791-6613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
11/08/2022
Last updated
10/31/2025
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