Change Academy at Lake of the Ozarks
NPI #1316130784 in Lake Ozark, Missouri
Provider Information
- NPI Number
- 1316130784
- Entity Type
- Organization
- Organization Name
- Change Academy at Lake of the Ozarks
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Aug 20, 2007
- Last Updated
- May 21, 2025
Practice Location
- Address
- 130 CALO LANE
- City
- Lake Ozark
- State
- Missouri
- ZIP Code
- 65049
- Phone
- (573) 365-2221
Authorized Official
- Name
- SHARNELL SPENCER
- Title
- CREDENTIALING MANAGER
- Phone
- (661) 239-6923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Residential Treatment Facility, Emotionally Disturbed Children |
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