NPI: 1669056172
Provider Name: NORTHWAY ACADEMY, INC.
Doing Business As: NORTHWAY ACADEMY, INC. BLOOMINGTON
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization
Specialization: Developmental Disabilities
Address:
9201 OLD CEDAR AVENUE SOUTH
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 854-1800
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NORTHWAY ACADEMY, INC. is a developmental disabilities clinic center in Bloomington, 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 1669056172. The provider is registered as an organization entity type.
The provider Is Doing Business As Northway Academy, Inc. Bloomington.
The provider's business location address is:
9201 OLD CEDAR AVENUE SOUTH
BLOOMINGTON, MN
ZIP 55425-401
Phone: (952) 854-1800
Fax: (952) 945-4918
The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is VP & SR ASST GCAsst Gc and has the following contact phone number (952) 836-2234.
The enumeration date for this NPI number is 5/11/2021 and was last updated on 1/23/2024.