The Randolph Logan Group LLC
NPI #1457246860 in Colmar, Pennsylvania
Provider Information
- NPI Number
- 1457246860
- Entity Type
- Organization
- Organization Name
- The Randolph Logan Group LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 9, 2025
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 2291 W WALNUT ST
- City
- Colmar
- State
- Pennsylvania
- ZIP Code
- 18915-9409
- Phone
- (610) 850-5001
Authorized Official
- Name
- MRS. DANAE DANYELLE LOGAN
- Title
- CEO
- Phone
- (610) 850-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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