| NPI | 1366102618 |
|---|---|
| Doing Business As | NORTHWAY ACADEMY, INC. ST. CLOUD SOUTH |
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst Gc 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2024-01-23 |