Organization
MMRG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN ROBINSON-GAY MSW, LSW (OWNER)
(937) 204-9059
Entity
Organization
Contact information
Practice address
3085 WOODMAN DR STE 205, DAYTON, OH 45420-1171
(937) 204-9059
Mailing address
5400 DOVETREE BLVD APT 19, MORAINE, OH 45439-5182
(937) 204-9059
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267202
—
OH
Enumeration date
04/27/2020
Last updated
05/01/2020
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