OrganizationActive
Northway Academy, Inc.
NPI 1104333715 · Developmental Disabilities Clinic/Center · Saint Cloud, MN
Provider details
- NPI number
- 1104333715
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mary Rodenberg-Roberts, Vice Pres & Sr. Asst Gc
Practice location
108 Doctors Park
Saint Cloud, MN 56303-1207
Phone: (320) 259-6022
Fax: (952) 922-6885
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2018-01-04
- Last updated
- 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.