OrganizationActive
Community Action Agency
NPI 1942446927 · Nutrition Education Nutritionist · Adrian, MI
Provider details
- NPI number
- 1942446927
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Parent organization
- Women Infants Children
- Organization subpart
- Yes
- Authorized official
- Toby Berry, Chief Executive Officer(517) 539-8311
- License
- 4703062118 (MI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Managed Care Organizations
Practice location
400 W South St
Adrian, MI 49221-3825
Phone: (517) 263-7861
Fax: (517) 263-6531
Approximate (ZIP-level) locationGet directions
Mailing address
400 W South St
Adrian, MI 49221-3825
Other names (DBA / former)
- Other name
- W.i.c
Registry dates
- Enumerated
- 2008-12-23
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.