Organization
LOTUS RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BACON LADC (DIRECTOR)
(651) 703-3336
Entity
Organization
Contact information
Practice address
1 WATER ST W # 240, SAINT PAUL, MN 55107-2002
(651) 703-3336
Mailing address
1 WATER ST W # 240, SAINT PAUL, MN 55107-2002
(651) 703-3336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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