| NPI | 1093006017 |
|---|---|
| Doing Business As | CHANGE BEHAVIORAL HEALTH, INC. |
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE HARRINGTON Chief Executove Officer 319-233-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-08-16 |