Change Behavioral Health, Inc. | |
501 Sycamore St Ste 623 Waterloo IA 50703-4651 | |
(319) 233-0323 | |
(319) 233-5923 |
Full Name | Change Behavioral Health, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 501 Sycamore St Ste 623, Waterloo, Iowa |
Authorized Official Name and Position | Shannon Lee Harrington (CHIEF EXECUTOVE OFFICER) |
Authorized Official Contact | 3192330323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Change Behavioral Health, Inc. 2307 Falls Avenue Suite 4 Waterloo IA 50701-5700 Ph: (319) 233-0323 | Change Behavioral Health, Inc. 501 Sycamore St Ste 623 Waterloo IA 50703-4651 Ph: (319) 233-0323 |
NPI Number | 1093006017 |
---|---|
Provider Enumeration Date | 04/25/2011 |
Last Update Date | 08/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093006017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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