Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Randolph Logan Group LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1639948508

The Randolph Logan Group LLC is a Mental Illness Community Based Residential Treatment Facility in Colmar, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2403 W Walnut St
Colmar, PA 18915-9704
Phone: (484) 213-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1639948508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danae Logan — Ceo · (610) 850-5001
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address600 W Germantown Pike Ste 400, Plymouth Meeting, PA 19462-1046

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