| Northway Academy, Inc. | |
|
108 Doctors Park Saint Cloud MN 56303-1207 | |
| (320) 259-6022 | |
| (952) 922-6885 |
| Full Name | Northway Academy, Inc. |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 108 Doctors Park, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VICE PRES & SR. ASST GC) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northway Academy, Inc. 6600 France Ave S Ste 350 Edina MN 55435-1810 Ph: (952) 563-2207 | Northway Academy, Inc. 108 Doctors Park Saint Cloud MN 56303-1207 Ph: (320) 259-6022 |
| NPI Number | 1104333715 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104333715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
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