| Embark Reentry LLC | |
|
8716 Elliot Ave S Bloomington MN 55420-3024 | |
| (612) 636-3060 | |
| Not Available |
| Full Name | Embark Reentry LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8716 Elliot Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Abdalla Ali (OWNER) |
| Authorized Official Contact | 6126363060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embark Reentry LLC 8716 Elliot Ave S Bloomington MN 55420-3024 | Embark Reentry LLC 8716 Elliot Ave S Bloomington MN 55420-3024 Ph: (612) 636-3060 |
| NPI Number | 1164239489 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 02/09/2026 |
| Certification Date | 02/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164239489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
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