Provider Demographics
NPI:1164871554
Name:SEVEN STAR HORSE & FAMILY CENTER
Entity Type:Organization
Organization Name:SEVEN STAR HORSE & FAMILY CENTER
Other - Org Name:7 STAR THERAPEUTIC RIDING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-355-4773
Mailing Address - Street 1:PO BOX 50655
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-0655
Mailing Address - Country:US
Mailing Address - Phone:806-355-4773
Mailing Address - Fax:
Practice Address - Street 1:4667 S. FM 1258
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118
Practice Address - Country:US
Practice Address - Phone:806-355-4773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health