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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