Organization
HEALTHY COMMUNITY FORUM FOR THE GREATER SACRAMENTO REGION
Active
Other names
Sacramento Covered
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY BENNETT (CHIEF EXECUTIVE OFFICER)
(916) 414-8336
Entity
Organization
Contact information
Practice address
819 19TH ST, SACRAMENTO, CA 95811-2108
(916) 414-8330
(916) 414-8348
Mailing address
819 19TH ST, SACRAMENTO, CA 95811-2108
(916) 414-8330
(916) 414-8348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
03/25/2019
Last updated
02/10/2022
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