Organization · Type 2 NPI

Cg-Dsa, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN

NPI number 1760412936 Active

Practice location

7603 E 10th St
Indianapolis, IN 46219-5101

Call (317) 477-0093 Map

Fax (317) 348-3430

Mailing address

4800 Overton Plaza, Suite 440
Fort Worth, TX 76109-4435

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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 1760412936

Cg-Dsa, LLC's National Provider Identifier is 1760412936, 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 Indianapolis, IN. The record was last updated on Aug 13, 2021.