NPI 1124051982

Cg-Dsa, LLC

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

Practice location

Address: 12110 Beckley Rd, Indianapolis, IN 46229-3204
Phone: (317) 477-0093
Fax: (317) 348-3430
Mailing address: 4800 Overton Plaza Suite 400, Fort Worth, TX 76109-4435

Authorised official

Name: Anna Todd
Title: Operations Business Manager
Phone: (800) 299-5161

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Indiana →

Registry record

NPI: 1124051982
Entity type: Organization
NPI issued: 7 Jul 2006
Record last updated: 17 Aug 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.