Organization
MARTIN LUTHER KING, JR TECHNOLOGY ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY WILLIAMS TEACHER (PRINCIPAL)
(916) 566-3490
Entity
Organization
Contact information
Practice address
3051 FAIRFIELD ST, SACRAMENTO, CA 95815-1132
(916) 566-3490
Mailing address
3051 FAIRFIELD ST, SACRAMENTO, CA 95815-1132
(916) 566-3490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2011
Last updated
08/24/2011
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