Cg-Dsa, LLC
NPI #1154340396 in Crawfordsville, Indiana
Provider Information
- NPI Number
- 1154340396
- Entity Type
- Organization
- Organization Name
- Cg-Dsa, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Aug 13, 2021
Practice Location
- Address
- 1313 HOMEWOOD DRIVE
- City
- Crawfordsville
- State
- Indiana
- ZIP Code
- 47933-3341
- Phone
- (765) 362-0905
Authorized Official
- Name
- ANNA TODD
- Title
- OPERATIONS BUSINESS MANAGER
- Phone
- (800) 299-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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