Beacon of Hope Autism Center LLC
NPI #1083433650 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1083433650
- Entity Type
- Organization
- Organization Name
- Beacon of Hope Autism Center LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Oct 9, 2024
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 85 LIVINGSTON AVE APT 313
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55107-5705
- Phone
- (651) 363-0319
Authorized Official
- Name
- TABITA A OMAR
- Title
- OWNER
- Phone
- (651) 363-0319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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