Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Crawfordsville, IN
Practice location
1313 Homewood Drive
Crawfordsville, IN 47933-3341
Mailing address
4800 Overton Plaza
Fort Worth, TX 76109-4435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0683I0001JN08 (IN) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0683I0002JN08 (IN) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0683I0003JN08 (IN) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0683I0004JN08 (IN) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0683I0005JN08 (IN) |
| 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.
About NPI 1154340396
Cg-Dsa, LLC's National Provider Identifier is 1154340396, issued on Jul 19, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Crawfordsville, IN. The record was last updated on Aug 13, 2021.