Embark Reentry LLC
NPI #1164239489 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1164239489
- Entity Type
- Organization
- Organization Name
- Embark Reentry LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 11, 2024
- Last Updated
- Dec 11, 2024
Practice Location
- Address
- 8716 ELLIOT AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-3024
- Phone
- (612) 636-3060
Authorized Official
- Name
- MR. ABDALLA ALI
- Title
- OWNER
- Phone
- (612) 636-3060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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