Provider Demographics
NPI:1790711471
Name:DEVELOPMENTAL SERVICE ALTERNATIVES, INC.
Entity Type:Organization
Organization Name:DEVELOPMENTAL SERVICE ALTERNATIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUGGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-462-1222
Mailing Address - Street 1:225 GASLITE LN
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1012
Mailing Address - Country:US
Mailing Address - Phone:317-462-1222
Mailing Address - Fax:317-462-1250
Practice Address - Street 1:225 GASLITE LN
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1012
Practice Address - Country:US
Practice Address - Phone:317-462-1222
Practice Address - Fax:317-462-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities