The Randolph Logan Group LLC
NPI #1639948508 in Colmar, Pennsylvania
Provider Information
- NPI Number
- 1639948508
- Entity Type
- Organization
- Organization Name
- The Randolph Logan Group LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Dec 20, 2023
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 2403 W WALNUT ST
- City
- Colmar
- State
- Pennsylvania
- ZIP Code
- 18915-9704
- Phone
- (484) 213-0043
Authorized Official
- Name
- MRS. DANAE LOGAN, MS
- Title
- CEO
- Phone
- (610) 850-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community Based Residential Treatment Facility, Mental Illness |
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