Indianhead Community Action Agency Incorporated

NPI #1962984906 in Ladysmith, Wisconsin

Provider Information

NPI Number: 1962984906
Entity Type: Organization
Organization Name: Indianhead Community Action Agency Incorporated
Primary Specialty: Case Management
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 1000 COLLEGE AVE W
City: Ladysmith
State: Wisconsin
ZIP Code: 54848-2118
Phone: (715) 532-4222

Authorized Official

Name: MRS. ANTOINETTE MARIE MCCUTCHEON, DESIGNATED OFFICIAL
Title: DIRECTOR OF COMMUNITY SERVICES
Phone: (715) 532-1545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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