Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual Disabilities Intermediate Care Facility · Middletown, IN
NPI number
1760065296
Active
Practice location
1435 Congress St
Middletown, IN 47356-9323
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1760065296
Cg-Dsa, LLC's National Provider Identifier is 1760065296, issued on May 3, 2021. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Middletown, IN. The record was last updated on May 3, 2021.