Organization
MARTIN LUTHER KING, JR TECHNOLOGY ACADEMY
Active
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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