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Organization

NORTHWAY ACADEMY, INC.

Active
Other names
Northway Academy, Inc. Bloomington
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
9201 OLD CEDAR AVENUE SOUTH, BLOOMINGTON, MN 55425-2401
(952) 854-1800
(952) 945-4918
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
05/11/2021
Last updated
01/23/2024
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