Provider Demographics
NPI:1437341724
Name:CASS COUNTY CASE MANAGEMENT
Entity Type:Organization
Organization Name:CASS COUNTY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASS COUNTY MENTAL HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KANNING
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:712-243-4424
Mailing Address - Street 1:5 WEST 7TH STREET
Mailing Address - Street 2:CASS COUNTY COURTHOUSE
Mailing Address - City:ATLANTIC
Mailing Address - State:IA
Mailing Address - Zip Code:50022
Mailing Address - Country:US
Mailing Address - Phone:712-243-4424
Mailing Address - Fax:712-243-6666
Practice Address - Street 1:1408 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1934
Practice Address - Country:US
Practice Address - Phone:712-243-2606
Practice Address - Fax:712-243-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management