NPI 1629758875

Breakthrough Therapy Center, LLC

Organisation Early Intervention Provider Agency Saint Cloud, MN

Practice location

Address: 340 Us-10 W, Saint Cloud, MN 56304-3400
Phone: (952) 212-0358
Fax: (612) 326-6160
Mailing address: 2001 Killebrew Dr STE 112, Bloomington, MN 55425-1871

Authorised official

Name: Hamid Ahmed Mohamed
Title: Ceo/President
Phone: (952) 212-0358

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1629758875
Entity type: Organization
NPI issued: 21 Jul 2023
Record last updated: 30 Jun 2025

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.