OrganizationActive
Growth Therapy Inc
NPI 1295533149 · Adolescent and Children Mental Health Clinic/Center · Bloomington, MN
Provider details
- NPI number
- 1295533149
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Abdirisak Hussein, Ceo
Practice location
8500 Normandale Lake Blvd Ste 350
Office 23
Bloomington, MN 55437-3805
Phone: (614) 500-0876
Mailing address
8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805
Registry dates
- Enumerated
- 2025-03-06
- Last updated
- 2025-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.