| Merrimack Valley Aba Services Inc | |
|
599 Canal Street 5th Fl East Suite 15-16 Lawrence MA 01840-1245 | |
| (978) 980-0466 | |
| (978) 983-0467 |
| Full Name | Merrimack Valley Aba Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 599 Canal Street, Lawrence, Massachusetts |
| Authorized Official Name and Position | Stephen K Addison (PRESIDENT) |
| Authorized Official Contact | 9782089034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrimack Valley Aba Services Inc 599 Canal Street 5th Fl East Suite 15-16 Lawrence MA 01840 Ph: (978) 983-0466 | Merrimack Valley Aba Services Inc 599 Canal Street 5th Fl East Suite 15-16 Lawrence MA 01840-1245 Ph: (978) 980-0466 |
| NPI Number | 1366041550 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366041550 | NPI | - | NPPES |
| 001465731 | Other | MA | BUSINESS CERTIFICATE IDENTIFICATION NUMBER |
| 001465731 | Other | MA | BUSINESS REGISTRATION CERTIFICATE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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