NPI 1225894819

Progress Valley, INC.

Organisation Substance Abuse Rehabilitation Facility Roseville, MN

Practice location

Address: 2675 Long Lake Rd STE 125, Roseville, MN 55113-2823
Phone: (952) 956-3100
Mailing address: 1100 E 80th St, Bloomington, MN 55420-1426

Authorised official

Name: Jared Bostrom
Title: Chief Executive Officer
Phone: (952) 956-3101

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Minnesota →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1225894819
Entity type: Organization
NPI issued: 22 Feb 2024
Record last updated: 6 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.