Northway Academy, Inc.

NPI #1790665917 in Rogers, Minnesota

Provider Information

NPI Number: 1790665917
Entity Type: Organization
Organization Name: Northway Academy, Inc.
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 14000 NORTHDALE BLVD
City: Rogers
State: Minnesota
ZIP Code: 55374-4662
Phone: (763) 328-2782

Authorized Official

Name: MARY PATRICIA RODENBERG-ROBERTS
Title: VP & SR ASST GENERAL COUNSEL
Phone: (952) 836-2234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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