NPI:
1366102618
Provider Name:
NORTHWAY ACADEMY, INC.
Doing Business As: NORTHWAY ACADEMY, INC. ST. CLOUD SOUTH
Classification:
Clinic/Center - 261QD1600X
Entity Type:
Organization
Specialization: Developmental Disabilities
Address:
1775 ROOSEVELT RD
SAINT CLOUD, MN
ZIP 56301
Phone:
(320) 290-0693
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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 1366102618. The provider is registered as an organization entity type.
The provider Is Doing Business As Northway Academy, Inc. St. Cloud South.
The provider's business location address is:
1775 ROOSEVELT RD
SAINT CLOUD, MN
ZIP 56301-207
Phone: (320) 290-0693
Fax: (952) 922-6885
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 12/28/2021 and was last updated on 1/23/2024.