# BREAKTHROUGH THERAPY CENTER, LLC

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

## Provider details

- **NPI number:** 1629758875
- **Authorized official:** HAMID AHMED MOHAMED (CEO/PRESIDENT)
- **Authorized official phone:** (952) 212-0358

## Contact information

- **Practice address:** 340 US-10 W, SAINT CLOUD, MN 56304-3400
- **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:** 07/21/2023
- **Last updated:** 06/30/2025