Organization
WATERLOO RESIDENTIAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HENSON (OWNER)
(512) 789-4079
Entity
Organization
Contact information
Practice address
7605 ALBERT RD, AUSTIN, TX 78745-6108
(512) 789-4079
Mailing address
7605 ALBERT RD, AUSTIN, TX 78745-6108
(512) 789-4079
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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