NPI 1093006017

Change Behavioral Health, INC

Organisation Community/Behavioral Health Agency Waterloo, IA

Practice location

Address: 501 Sycamore St STE 623, Waterloo, IA 50703-4651
Phone: (319) 233-0323
Fax: (319) 233-5923
Mailing address: 2307 Falls Avenue Suite 4, Waterloo, IA 50701-5700

Authorised official

Name: Shannon Lee Harrington
Title: Chief Executove Officer
Phone: (319) 233-0323

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Iowa →

Registry record

NPI: 1093006017
Entity type: Organization
NPI issued: 25 Apr 2011
Record last updated: 16 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.