| NPI | 1578381570 |
|---|---|
| Doing Business As | MIDWAY |
| Entity Type | Organization |
| Authorized Contact | SAMIRA MOHAMUD Clinical Trainee 612-707-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |