NPI 1073971297

Core Agency Group

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Downsville, LA

Practice location

Address: 865 Williams Colony Rd, Downsville, LA 71234-5905
Phone: (318) 789-6819
Mailing address: 122 Griffin Rd, Downsville, LA 71234-5700

Authorised official

Name: Nicole Applewhite
Title: Owner
Phone: (318) 789-6819

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Louisiana →

Registry record

NPI: 1073971297
Entity type: Organization
NPI issued: 2 Feb 2016
Record last updated: 2 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.