| Cg-dsa, Llc | |
|
1538 N State St Greenfield IN 46140-1060 | |
| (317) 477-0093 | |
| Not Available |
| Full Name | Cg-dsa, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1538 N State St, Greenfield, Indiana |
| Authorized Official Name and Position | Anna Todd (OPERATIONS BUSINESS MANAGER) |
| Authorized Official Contact | 8002995161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cg-dsa, Llc 4800 Overton Plz Ste 440 Fort Worth TX 76109-4435 Ph: (800) 299-5161 | Cg-dsa, Llc 1538 N State St Greenfield IN 46140-1060 Ph: (317) 477-0093 |
| NPI Number | 1831696665 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831696665 | NPI | - | NPPES |
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