Organization
MERRIMACK RIVER MEDICAL SERVICES, INC.
Active
Organization
MERRIMACK RIVER MEDICAL SERVICES, INC.
Active
Other names
Health Care Resource Centers
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
2300 CONGRESS ST, PORTLAND, ME 04102-1908
(207) 221-2292
(207) 221-2297
Mailing address
1720 LAKEPOINTE DR, LEWISVILLE, TX 75057-6458
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151640000
—
ME
Enumeration date
10/28/2009
Last updated
07/29/2024
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