OrganizationActive
Breakthrough Therapy Center, LLC
NPI 1386258143 · Early Intervention Provider Agency · Bloomington, MN
Provider details
- NPI number
- 1386258143
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Hamid Mohamed, Co-Founder, Ceo(612) 707-7530
Specialties & taxonomies
Agencies
Practice location
1701 American Blvd E Ste 19
Bloomington, MN 55425-1401
Phone: (952) 212-0358
Fax: (612) 326-6160
Approximate (ZIP-level) locationGet directions
Mailing address
2001 Killebrew Dr Ste 112
Bloomington, MN 55425-1871
Registry dates
- Enumerated
- 2020-08-31
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.