institution
Cg-dsa, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anderson, Indiana
NPI 1588698021

Cg-dsa, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Worth, IN. Cg-dsa, Llc practices in Anderson, IN. The NPI Number for Cg-dsa, Llc is 1588698021 and holds a License No. (Indiana).

The current practice location address for Cg-dsa, Llc is 4918 Michael Street, Anderson, IN and can be reached out via phone at 765-649-4247 and via fax at 765-642-8512.

Location: 4918 Michael Street, Anderson, IN, 76109-4435
institution
Provider Profile Details
NPI Number
1588698021
Provider Name
Cg-dsa, Llc
Credential
Provider Entity Type
Organization
Address
4918 Michael Street, Anderson, IN, 76109-4435
Phone Number
765-649-4247
Fax Number
765-642-8512
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100239540B 05 IN
institution
Provider Business Practice Location Address Details
Address
4918 Michael Street
City
State
Zip
46013-1327
Phone Number
765-649-4247
Fax Number
765-642-8512
person
Provider Business Mailing Address Details
Address
4918 Michael Street
City
State
Zip
46013-1327
Phone Number
765-649-4247
Fax Number
765-642-8512
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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