Organization
CASS COUNTY WIC PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN H. CLOTHIER (CEO)
(317) 576-1335
Entity
Organization
Contact information
Practice address
1700 DIVIDEND DR, LOGANSPORT, IN 46947-1572
(574) 753-4961
(574) 735-0429
Mailing address
8003 CASTLEWAY DRIVE, INDIANAPOLIS, IN 46250
(317) 576-1335
(317) 576-1339
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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