OrganizationActive
Beacon of Hope Autism Center LLC
NPI 1083433650 · Adolescent and Children Mental Health Clinic/Center · Saint Paul, MN
Provider details
- NPI number
- 1083433650
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tabita Omar, Owner
Practice location
85 Livingston Ave Apt 313
Saint Paul, MN 55107-5705
Phone: (651) 363-0319
Mailing address
85 Livingston Ave Apt 313
Saint Paul, MN 55107-5705
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.