| NPI | 1245604941 |
|---|---|
| Doing Business As | MIDD WEST |
| Entity Type | Organization |
| Authorized Contact | KEARNEY B WAITES Program Director 601-638-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MS MIDD-AGENCY) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |