Organization
CHANGE BEHAVIORAL HEALTH, INC
Active
Other names
Change Behavioral Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LEE HARRINGTON BA, MA, MFT (CHIEF EXECUTOVE OFFICER)
(319) 233-0323
Entity
Organization
Contact information
Practice address
501 SYCAMORE ST STE 623, WATERLOO, IA 50703-4651
(319) 233-0323
(319) 233-5923
Mailing address
2307 FALLS AVENUE SUITE 4, WATERLOO, IA 50701-5700
(319) 233-0323
(319) 233-5923
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
08/16/2011
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