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Organization
CONTINUUM CARE CENTER
Active
Organization
CONTINUUM CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BACON LADC (CEO)
(651) 703-3336
Entity
Organization
Contact information
Practice address
1 WATER ST W STE 210, SAINT PAUL, MN 55107-2002
(651) 703-3336
(651) 393-5161
Mailing address
1 WATER ST W STE 210, SAINT PAUL, MN 55107-2002
(651) 703-3336
(651) 393-5161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302461
MN
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
175T00000X
Peer Specialist
—
MN
405300000X
Prevention Professional
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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