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Organization
BREAKTHROUGH THERAPY CENTER, LLC
Active
Organization
BREAKTHROUGH THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID AHMED MOHAMED (CEO/PRESIDENT)
(952) 212-0358
Entity
Organization
Contact information
Practice address
340 US-10 W, SAINT CLOUD, MN 56304-3400
(952) 212-0358
(612) 326-6160
Mailing address
2001 KILLEBREW DR STE 112, BLOOMINGTON, MN 55425-1871
(952) 212-0358
(612) 326-6160
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
07/21/2023
Last updated
06/30/2025
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