Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN
Practice location
12110 Beckley Rd
Indianapolis, IN 46229-3204
Fax (317) 348-3430
Mailing address
4800 Overton Plaza, Suite 400
Fort Worth, TX 76109-4435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1124051982
Cg-Dsa, LLC's National Provider Identifier is 1124051982, issued on Jul 7, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 17, 2021.