Provider Demographics
NPI:1932839461
Name:THE HALO FOUNDATION
Entity Type:Organization
Organization Name:THE HALO FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PROGRAM OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-472-4256
Mailing Address - Street 1:1600 GENESSEE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64102-1010
Mailing Address - Country:US
Mailing Address - Phone:816-472-4256
Mailing Address - Fax:
Practice Address - Street 1:3519 BENNETT LN
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-1001
Practice Address - Country:US
Practice Address - Phone:573-418-9912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness