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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