| The Halo Foundation | |
|
3519 Bennett Ln Jefferson City MO 65101-1001 | |
| (573) 418-9912 | |
| Not Available |
| Full Name | The Halo Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3519 Bennett Ln, Jefferson City, Missouri |
| Authorized Official Name and Position | Carly Schultze (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 8164724256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Halo Foundation 1600 Genessee St Ste 200 Kansas City MO 64102-1010 Ph: (816) 472-4256 | The Halo Foundation 3519 Bennett Ln Jefferson City MO 65101-1001 Ph: (573) 418-9912 |
| NPI Number | 1932839461 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932839461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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