# CORE AGENCY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073971297
- **Authorized official:** NICOLE APPLEWHITE MS (OWNER)
- **Authorized official phone:** (318) 789-6819

## Contact information

- **Practice address:** 865 WILLIAMS COLONY RD, DOWNSVILLE, LA 71234-5905
- **Practice address phone:** (318) 789-6819
- **Mailing address:** 122 GRIFFIN RD, DOWNSVILLE, LA 71234-5700
- **Mailing address phone:** (318) 789-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | LA | Yes |

## Other

- **Enumeration date:** 02/02/2016
- **Last updated:** 02/02/2016