NPI:
1578138202
Provider Name:
NORTHWAY ACADEMY, INC.
Doing Business As: NORTHWAY ACADEMY, INC. BEHAVIOR SUPPORTS
Classification:
Clinic/Center - 261QD1600X
Entity Type:
Organization
Specialization: Developmental Disabilities
Address:
109 DOCTORS PARK
SAINT CLOUD, MN
ZIP 56303
Phone:
(320) 774-1908
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NORTHWAY ACADEMY, INC. is a developmental disabilities clinic center in Saint Cloud, MN. The provider is 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.). NORTHWAY ACADEMY, INC. NPI is 1578138202. The provider is registered as an organization entity type.
The provider Is Doing Business As Northway Academy, Inc. Behavior Supports.
The provider's business location address is:
109 DOCTORS PARK
SAINT CLOUD, MN
ZIP 56303-207
Phone: (320) 774-1908
Fax: (952) 945-4918
The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is Vp & Sr Asst Gc and has the following contact phone number (952) 836-2234.
The enumeration date for this NPI number is 5/25/2021 and was last updated on 1/23/2024.