Change Academy at Lake of the Ozarks
NPI #1487499091 in Livingston, New Jersey
Provider Information
- NPI Number
- 1487499091
- Entity Type
- Organization
- Organization Name
- Change Academy at Lake of the Ozarks
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHANGE ACADEMY AT LAKE OF THE OZARKS
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jun 26, 2024
- Last Updated
- May 21, 2025
Practice Location
- Address
- 7 REGENT ST STE 701
- City
- Livingston
- State
- New Jersey
- ZIP Code
- 07039-1628
- Phone
- (862) 418-4574
Authorized Official
- Name
- SHARNELL SPENCER
- Title
- CREDENTIALING MANAGER
- Phone
- (661) 239-6923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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