Organization
CORE AGENCY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE APPLEWHITE MS (OWNER)
(318) 789-6819
Entity
Organization
Contact information
Practice address
865 WILLIAMS COLONY RD, DOWNSVILLE, LA 71234-5905
(318) 789-6819
Mailing address
122 GRIFFIN RD, DOWNSVILLE, LA 71234-5700
(318) 789-6819
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
LA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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