Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Middletown, IN
Practice location
1435 Congress St
Middletown, IN 47356-9323
Fax (765) 642-8512
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.
Another provider at this address
About NPI 1265462428
Cg-Dsa, LLC's National Provider Identifier is 1265462428, issued on Jul 4, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Middletown, IN. The record was last updated on Aug 17, 2021.