Organization
NORTHWAY ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP ROBERTS KAUFMAN (CEO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(952) 563-2207
(952) 922-6885
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(952) 563-2207
(952) 922-6885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/13/2011
Last updated
01/23/2024
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