# COMMUNITY ACTION AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOMEN INFANTS CHILDREN
- **Other names:** W.I.C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942446927
- **Legal business name:** WOMEN INFANTS CHILDREN
- **Authorized official:** TOBY BERRY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (517) 539-8311

## Contact information

- **Practice address:** 400 W SOUTH ST, ADRIAN, MI 49221-3825
- **Practice address phone:** (517) 263-7861
- **Practice address fax:** (517) 263-6531
- **Mailing address:** 400 W SOUTH ST, ADRIAN, MI 49221-3825
- **Mailing address phone:** (517) 263-7861
- **Mailing address fax:** (517) 263-6531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | 4703062118 | MI | Yes |
| 305S00000X | Point of Service | 4703062118 | MI | — |

## Other

- **Enumeration date:** 12/23/2008
- **Last updated:** 09/20/2024