| Rem Central Lakes, Inc. Northway Academy Ii | |
|
205 14th Ave E Sartell MN 56377-4500 | |
| (320) 774-3915 | |
| (320) 774-3918 |
| Full Name | Rem Central Lakes, Inc. Northway Academy Ii |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 205 14th Ave E, Sartell, 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 |
|---|---|
| Rem Central Lakes, Inc. Northway Academy Ii 6600 France Ave S Ste 350 Edina MN 55435-1810 Ph: (952) 563-2207 | Rem Central Lakes, Inc. Northway Academy Ii 205 14th Ave E Sartell MN 56377-4500 Ph: (320) 774-3915 |
| NPI Number | 1841852639 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841852639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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