OrganizationActive
Cg-Dsa, LLC
NPI 1124051982 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN
Provider details
- NPI number
- 1124051982
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Anna Todd, Operations Business Manager
Practice location
12110 Beckley Rd
Indianapolis, IN 46229-3204
Phone: (317) 477-0093
Fax: (317) 348-3430
Mailing address
4800 Overton Plaza
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2021-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.