OrganizationActive
Cg-Dsa, LLC
NPI 1760412936 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN
Provider details
- NPI number
- 1760412936
- 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
7603 E 10th St
Indianapolis, IN 46219-5101
Phone: (317) 477-0093
Fax: (317) 348-3430
Mailing address
4800 Overton Plaza
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2006-07-04
- 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.