Change Academy Lake of the Ozarks
NPI #1134475635 in Lake Ozark, Missouri
Provider Information
- NPI Number
- 1134475635
- Entity Type
- Organization
- Organization Name
- Change Academy Lake of the Ozarks
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Aug 2, 2012
- Last Updated
- Aug 2, 2012
Practice Location
- Address
- 130 CALO LN
- City
- Lake Ozark
- State
- Missouri
- ZIP Code
- 65049-9208
- Phone
- (573) 200-1605
Authorized Official
- Name
- MR. MICHAEL KOEHLER, MA
- Title
- RECREATION THERAPY DIRECTOR
- Phone
- (866) 753-1374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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