Organization
DOUBLETREE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY LYNN CARPENTER (CO-OWNER/BILLING)
(512) 280-3665
Entity
Organization
Contact information
Practice address
2111 SLAUGHTER LN. W, AUSTIN, TX 78748
(512) 280-3665
(512) 280-6742
Mailing address
2111 SLAUGHTER LN. W, AUSTIN, TX 78748
(512) 280-3665
(512) 280-6742
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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