| Change Behavioral Health | |
|
2315 Falls Ave Ste 1 Waterloo IA 50701-5736 | |
| (319) 233-0323 | |
| (319) 233-5923 |
| Full Name | Change Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2315 Falls Ave Ste 1, Waterloo, Iowa |
| Authorized Official Name and Position | Shannon Lee Harrington (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3192330323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Behavioral Health 2315 Falls Ave Ste 1 Waterloo IA 50701-5736 Ph: (319) 233-0323 | Change Behavioral Health 2315 Falls Ave Ste 1 Waterloo IA 50701-5736 Ph: (319) 233-0323 |
| NPI Number | 1366782427 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366782427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 007967 (Iowa) | Primary |
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