Northway Academy, Inc. | |
19437 Evans Street Nw Elk River MN 55330-1074 | |
(320) 290-0693 | |
(952) 945-4918 |
Full Name | Northway Academy, Inc. |
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Speciality | Community/behavioral Health |
Location | 19437 Evans Street Nw, Elk River, Minnesota |
Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR ASST GC) |
Authorized Official Contact | 9528362234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northway Academy, Inc. 6600 France Ave S Ste 350 Edina MN 55435-1810 Ph: (952) 563-2207 | Northway Academy, Inc. 19437 Evans Street Nw Elk River MN 55330-1074 Ph: (320) 290-0693 |
NPI Number | 1114539434 |
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Provider Enumeration Date | 08/18/2020 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114539434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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