NPI 1700562287
Micah's Walk for Autism
Practice location
- Address
- 424 Shadowood Dr, Ridgeland, MS 39157-4155
- Phone
- (662) 263-6044
Authorised official
- Name
- Christe Tashay Ford McBride
- Title
- Founder/President/Ceo
- Phone
- (662) 263-6044
Registered specialties (3)
Early Intervention Provider Agency
Primary
Developmentally Disabled Services Day Training Agency
Private Vehicle
Registry record
- NPI
- 1700562287
- Entity type
- Organization
- NPI issued
- 27 Jun 2023
- Record last updated
- 27 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.