Organization
MERRIMACK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MUSTO (CLINICAL INTERN)
(978) 287-3510
Entity
Organization
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(978) 851-0790
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/08/2009
Last updated
06/30/2011
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