NPI 1710111422
Merrimack Center
Practice location
- Address
- 365 East St, Tewksbury, MA 01876-1950
- Phone
- (978) 851-0790
- Mailing address
- 133 Old Road to 9 Acre Cor, Concord, MA 01742-4159
Authorised official
- Name
- Erin Musto
- Title
- Clinical Intern
- Phone
- (978) 287-3510
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1710111422
- Entity type
- Organization
- NPI issued
- 8 May 2009
- Record last updated
- 30 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.