Organization · Type 2 NPI
The Randolph Logan Group LLC
Mental Illness Community Based Residential Treatment Facility · Colmar, PA
NPI number
1639948508
Active
Practice location
2403 W Walnut St
Colmar, PA 18915-9704
Mailing address
600 W Germantown Pike Ste 400
Plymouth Meeting, PA 19462-1046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Colmar
About NPI 1639948508
The Randolph Logan Group LLC's National Provider Identifier is 1639948508, issued on Dec 20, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Colmar, PA. The record was last updated on Dec 20, 2023.