Change Academy at Lake of the Ozarks

NPI #1528714557 in Marion, Montana

Provider Information

NPI Number: 1528714557
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: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 28, 2022
Last Updated: May 21, 2025

Practice Location

Address: 9705 LOST PRAIRIE RD
City: Marion
State: Montana
ZIP Code: 59925-9844
Phone: (406) 858-2339

Authorized Official

Name: SHARNELL SPENCER
Title: CREDENTIALING MANAGER
Phone: (661) 239-6923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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