OrganizationActive
Cg-Dsa, LLC
NPI 1265462428 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Middletown, IN
Provider details
- NPI number
- 1265462428
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anna Todd, Operations Business Manager(800) 299-5161
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1435 Congress St
Middletown, IN 47356-9323
Phone: (765) 649-4247
Fax: (765) 642-8512
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Overton Plaza
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2021-08-17
- Certified
- 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.