Organization
COUNTY OF SACRAMENTO
Active
Organization
COUNTY OF SACRAMENTO
Active
Other names
MLK Jr - Retro CalWORKS
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE EDWARDS-BUCKLEY (DIRECTOR)
(916) 875-9904
Entity
Organization
Contact information
Practice address
3415 MARTIN LUTHER KING JR BLVD, SUITE 1, SACRAMENTO, CA 95817-3648
(916) 876-6600
(916) 876-7467
Mailing address
7001 EAST PKWY # A, SUITE 400, SACRAMENTO, CA 95823-2501
(916) 875-4948
(916) 875-6970
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8482
—
CA
Enumeration date
06/07/2007
Last updated
08/22/2020
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