Organization · Type 2 NPI

Northway Academy, Inc.

Developmental Disabilities Clinic/Center · St. Cloud, MN

NPI number 1104333715 Active

Practice location

108 Doctors Park
St. Cloud, MN 56303-1207

Call (320) 259-6022 Map

Fax (952) 922-6885

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Developmental Disabilities Clinic/Center Primary	261QD1600X	None listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

75 other providers at this address

Other developmental disabilities clinic/center providers in St. Cloud

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NPI record

NPI: 1104333715
Entity type: Organization (Type 2)
Issued: Jan 4, 2018
Last updated: Jan 23, 2024
Status: Active

Other names

<unavail>
Rem Central Lakes, Inc. Northway Academy · former legal business name

Authorized official

Mary Patricia Rodenberg-Roberts
Vice Pres & Sr. Asst GC
(952) 836-2234

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About NPI 1104333715

Northway Academy, Inc.'s National Provider Identifier is 1104333715, issued on Jan 4, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in St. Cloud, MN. The record was last updated on Jan 23, 2024.