OrganizationActive
Northway Academy, Inc.
NPI 1073181350 · Developmental Disabilities Clinic/Center · St. Cloud, MN
Provider details
- NPI number
- 1073181350
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vice Pres & Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
109 Doctors Park
St. Cloud, MN 56303-1207
Phone: (320) 774-1908
Fax: (952) 945-4918
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2021-06-14
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.