OrganizationActive
Cg-Dsa, LLC
NPI 1154340396 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Crawfordsville, IN
Provider details
- NPI number
- 1154340396
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Anna Todd, Operations Business Manager
- License
- 0683I0001JN08 (IN)
Practice location
1313 Homewood Drive
Crawfordsville, IN 47933-3341
Phone: (765) 362-0905
Mailing address
4800 Overton Plaza
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2021-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.