Organization
PETIT'S HALO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUNISE PETIT (CEO/OWNER)
(540) 317-6267
Entity
Organization
Contact information
Practice address
714 HOPE RD, STAFFORD, VA 22554-5226
(540) 317-6267
Mailing address
10 WINDRUSH CT, STAFFORD, VA 22554-5446
(540) 317-6267
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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