Organization
NORTHWAY ACADEMY, INC.
Active
Other names
Northway Academy, Inc. St. Cloud South
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GC)
(952) 836-2234
Entity
Organization
Contact information
Practice address
1775 ROOSEVELT RD, SAINT CLOUD, MN 56301-2207
(320) 290-0693
(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
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
01/23/2024
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