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Organization

LOGAN COMMUNITY RESOURCES, INC.

Active
Parent organization
LOGAN COMMUNITY RESOURCES, INC.
Other names
Logan Autism Learning Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOGAN COMMUNITY RESOURCES, INC.
Authorized official
MARIA FERNANDEZ (MANAGER OF REVENUE CYCLE)
(626) 531-2992
Entity
Organization

Contact information

Practice address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
(269) 363-4630
Mailing address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
(269) 363-4630

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/07/2021
Last updated
04/13/2021
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