DEEP WATERS AUSTIN LLC
Ambulatory Health at Research Blvd, Austin, TX

License number
Texas 71881
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: JENNIFER MERRILL BACA DAVILA LPC
Title: MEMBER
Phone: (512) 939-7769
Address
Address 2
13740 Research Blvd STE N8, Austin, TX 78750
312 Brentwood Dr, Leander, TX 78641
National Provider ID: 1023534294
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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