CHANGE BEHAVIORAL HEALTH
Agencies at Falls Ave, Waterloo, IA

License number
Iowa 007967
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MISS SHANNON LEE HARRINGTON BA,MA,MFT
Title: EXECUTIVE DIRECTOR
Phone: (319) 233-0323
Address
Address
2315 Falls Ave STE 1, Waterloo, IA 50701
National Provider ID: 1366782427
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHANGE BEHAVIORAL HEALTH at bizstanding.com

CHANGE BEHAVIORAL HEALTH INC

Waterloo, IA

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Feb 16, 2010
Addresses:
2307 Fls Ave STE 4, Waterloo, IA (Physical)
501 Sycamore St, Waterloo, IA 50703
2315 Fls Ave, Waterloo, IA 50701
State ID:
393401
Business type:
DOMESTIC PROFIT
Expiration:
PERPETUAL
Principals:
Shannon Lee Harrington (Psychologist),David Goodson (Principal)
Agent:
Docuserv Co ,3816 Ingersoll Ave, Des Moines, IA (Physical)

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