Organization
MIRIAM'S PROMISE
Active
Organization
MIRIAM'S PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ROBINSON M.A. (EXECUTIVE DIRECTOR)
(615) 292-3500
Entity
Organization
Contact information
Practice address
522 RUSSELL ST, NASHVILLE, TN 37206-4114
(615) 292-6500
(615) 292-0368
Mailing address
522 RUSSELL ST, NASHVILLE, TN 37206-4114
(615) 292-6500
(615) 292-0368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SO/10619
TN
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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