Cg-Dsa, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Indianapolis, IN. Organization (NPI-2).
Details
- NPI
- 1124051982
- Entity type
- Organization (NPI-2)
- Legal business name
- Cg-Dsa, LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Certification date
- Aug 17, 2021
- Last updated
- Aug 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
12110 Beckley RdIndianapolis, IN 46229-3204
Phone 317-477-0093 · Fax 317-348-3430
Mailing address
4800 Overton PlazaSuite 400
Fort Worth, TX 76109-4435
Phone 800-299-5161
Authorized official
Anna Todd
Operations Business Manager
8002995161
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All 47 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Indianapolis · All 38,312 providers in Indianapolis
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