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Organization
DEVELOPING ORGANIZING VISIONS FOR EVERYONE
Active
Organization
DEVELOPING ORGANIZING VISIONS FOR EVERYONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON DEWITT CLARK CCAPP (EXECUTIVE DIRECTOR)
(510) 910-2675
Entity
Organization
Contact information
Practice address
1638 FAIRGROUNDS DR STE D, VALLEJO, CA 94589-2076
(510) 910-2675
Mailing address
2635 NAPA ST UNIT 1174, VALLEJO, CA 94590-5653
(510) 910-2675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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