| Martin Luther King, Jr Technology Academy | |
|
3051 Fairfield St Sacramento CA 95815-1132 | |
| (916) 566-3490 | |
| Not Available |
| Full Name | Martin Luther King, Jr Technology Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3051 Fairfield St, Sacramento, California |
| Authorized Official Name and Position | Danny Williams (PRINCIPAL) |
| Authorized Official Contact | 9165663490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Luther King, Jr Technology Academy 3051 Fairfield St Sacramento CA 95815-1132 Ph: (916) 566-3490 | Martin Luther King, Jr Technology Academy 3051 Fairfield St Sacramento CA 95815-1132 Ph: (916) 566-3490 |
| NPI Number | 1063790459 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063790459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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