Organization
NORTHWAY ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR. ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2829
(320) 774-3464
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(952) 922-6776
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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