Organization
PROGRESS VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED BOSTROM DMFT, LMFT, LADC (CHIEF EXECUTIVE OFFICER)
(952) 956-3101
Entity
Organization
Contact information
Practice address
308 E 78TH ST, RICHFIELD, MN 55423-4315
(612) 827-2517
(612) 827-8112
Mailing address
1100 E 80TH ST, BLOOMINGTON, MN 55420-1426
(952) 956-3100
(612) 869-3225
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MN
Other
Enumeration date
02/16/2016
Last updated
05/06/2026
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