Provider Demographics
NPI:1518470624
Name:CDIG INC
Entity Type:Organization
Organization Name:CDIG INC
Other - Org Name:THE CENTER FOR DEVELOPMENT, INDEPENDENCE & GROWTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP & CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKAL
Authorized Official - Middle Name:LANARD
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:302-307-2446
Mailing Address - Street 1:221 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2608
Mailing Address - Country:US
Mailing Address - Phone:302-307-2446
Mailing Address - Fax:
Practice Address - Street 1:1714 DANFORTH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1802
Practice Address - Country:US
Practice Address - Phone:302-307-2446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-10
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities