OrganizationActive
Change Behavioral Health, Inc
NPI 1093006017 · Community/Behavioral Health Agency · Waterloo, IA
Provider details
- NPI number
- 1093006017
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Shannon Harrington, Chief Executove Officer
Practice location
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
Registry dates
- Enumerated
- 2011-04-25
- Last updated
- 2011-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.