CG-DSA, LLC is an intermediate care facility mentally retarded in Indianapolis, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CG-DSA, LLC NPI is 1194308635. The provider is registered as an organization entity type.
The provider's business location address is:
3708 LUEWAN DR
INDIANAPOLIS, IN
ZIP 46235-284
Phone: (317) 477-0093
The provider's authorized official is Anna Todd .
The authorized official title is Operations Business Manager and has the following contact phone number (800) 299-5161.
The CLIA number assigned to this NPI record is 15D2214075 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/3/2021.