Halo, Inc.
NPI #1982677027 in Petersburg, Virginia
Provider Information
- NPI Number
- 1982677027
- Entity Type
- Organization
- Organization Name
- Halo, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1857A FORT MAHONE ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-2761
- Phone
- (804) 733-9140
Authorized Official
- Name
- MR. HARRY LEGROS, QMRP/QMHP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 733-9140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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|---|---|
| Damon Peterson, M.ED, PBSF |
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| Heart to Heart Residential Services LLC | |
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