Individual
LOVE GAITHER- HASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 N ADAMS ST, AMARILLO, TX 79107-3407
(806) 584-4482
Mailing address
1211 N ADAMS ST, AMARILLO, TX 79107-3407
(806) 584-4482
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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