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Organization
MENTAL ENRICHMENT
Active
Organization
MENTAL ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMPAGNE CLARK (OWNER)
(415) 630-3360
Entity
Organization
Contact information
Practice address
2180 HARVARD ST STE 130, SACRAMENTO, CA 95815-3317
(415) 630-3360
Mailing address
447 SUTTER ST STE 405, SAN FRANCISCO, CA 94108-4618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
02/18/2026
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