# BREAKTHROUGH THERAPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386258143
- **Authorized official:** MR. HAMID AHMED MOHAMED (CO-FOUNDER, CEO)
- **Authorized official phone:** (612) 707-7530

## Contact information

- **Practice address:** 1701 AMERICAN BLVD E STE 19, BLOOMINGTON, MN 55425-1401
- **Practice address phone:** (952) 212-0358
- **Practice address fax:** (612) 326-6160
- **Mailing address:** 2001 KILLEBREW DR STE 112, BLOOMINGTON, MN 55425-1871
- **Mailing address phone:** (952) 212-0358
- **Mailing address fax:** (612) 326-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 06/04/2024