| NPI | 1023534294 |
|---|---|
| Other Name | JENNIFER BACA LPC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MERRILL BACA DAVILA Member 512-939-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 71881) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |