Organization
EMBARK REENTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDALLA ALI (OWNER)
(612) 636-3060
Entity
Organization
Contact information
Practice address
8716 ELLIOT AVE S, BLOOMINGTON, MN 55420-3024
(612) 636-3060
Mailing address
8716 ELLIOT AVE S, BLOOMINGTON, MN 55420-3024
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
02/09/2026
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