Organization
CHANGE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANNON LEE HARRINGTON BA,MA,MFT (EXECUTIVE DIRECTOR)
(319) 233-0323
Entity
Organization
Contact information
Practice address
2315 FALLS AVE STE 1, WATERLOO, IA 50701-5736
(319) 233-0323
(319) 233-5923
Mailing address
2315 FALLS AVE STE 1, WATERLOO, IA 50701-5736
(319) 233-0323
(319) 233-5923
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
007967
IA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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