Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anderson, IN
Practice location
2228 Van Buskirk Road
Anderson, IN 46011-1043
Fax (765) 642-8512
Mailing address
4800 Overton Plaza, Suite 440
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 1437186715
Cg-Dsa, LLC's National Provider Identifier is 1437186715, issued on Jun 26, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Anderson, IN. The record was last updated on Aug 13, 2021.