| Mmrg Llc | |
|
3085 Woodman Dr Ste 205 Dayton OH 45420-1171 | |
| (937) 204-9059 | |
| Not Available |
| Full Name | Mmrg Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3085 Woodman Dr Ste 205, Dayton, Ohio |
| Authorized Official Name and Position | Marian Robinson-gay (OWNER) |
| Authorized Official Contact | 9372049059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmrg Llc 5400 Dovetree Blvd Apt 19 Moraine OH 45439-5182 Ph: (937) 204-9059 | Mmrg Llc 3085 Woodman Dr Ste 205 Dayton OH 45420-1171 Ph: (937) 204-9059 |
| NPI Number | 1538780960 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 05/01/2020 |
| Certification Date | 05/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538780960 | NPI | - | NPPES |
| 0267202 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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