# MERRIMACK CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710111422
- **Authorized official:** ERIN MUSTO (CLINICAL INTERN)
- **Authorized official phone:** (978) 287-3510

## Contact information

- **Practice address:** 365 EAST ST, TEWKSBURY, MA 01876-1950
- **Practice address phone:** (978) 851-0790
- **Mailing address:** 133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2009
- **Last updated:** 06/30/2011
