Organization · Type 2 NPI

Northway Academy, Inc.

Developmental Disabilities Clinic/Center · Bloomington, MN

NPI number 1669056172 Active

Practice location

9201 Old Cedar Avenue South
Bloomington, MN 55425-2401

Call (952) 854-1800 Map

Fax (952) 945-4918

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
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.).

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NPI record

NPI: 1669056172
Entity type: Organization (Type 2)
Issued: May 11, 2021
Last updated: Jan 23, 2024
Status: Active

Other names

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Northway Academy, Inc. Bloomington · doing business as
Northway Academy, Inc. Bloomington · doing business as

Authorized official

Mary Patricia Rodenberg-Roberts
VP & SR Asst GC
(952) 836-2234

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About NPI 1669056172

Northway Academy, Inc.'s National Provider Identifier is 1669056172, issued on May 11, 2021. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Bloomington, MN. The record was last updated on Jan 23, 2024.