NPI 1013590561
Cg-Dsa, LLC
Practice location
- Address
- 1757 S 600 W, New Palestine, IN 46163-9790
- Phone
- (317) 477-0093
- Mailing address
- 4800 Overton Plz STE 440, Fort Worth, TX 76109-4435
Authorised official
- Name
- Anna Todd
- Title
- Operations Business Manager
- Phone
- (800) 299-5161
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1013590561
- Entity type
- Organization
- NPI issued
- 3 May 2021
- Record last updated
- 3 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.