Healthcare Provider Details

I. General information

NPI: 1033027743
Provider Name (Legal Business Name): CDS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 EAGLEVIEW BLVD STE 100
EXTON PA
19341-1157
US

IV. Provider business mailing address

232 EAGLEVIEW BLVD STE 100
EXTON PA
19341-1157
US

V. Phone/Fax

Practice location:
  • Phone: 484-210-7843
  • Fax:
Mailing address:
  • Phone: 484-210-7843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN BRADY
Title or Position: CFO
Credential:
Phone: 615-260-2641