Change Academy at Lake of the Ozarks
NPI #1659900835 in Springville, Utah
Provider Information
- NPI Number
- 1659900835
- 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
- Apr 8, 2020
- Last Updated
- May 21, 2025
Practice Location
- Address
- 266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
- City
- Springville
- State
- Utah
- ZIP Code
- 84663
- Phone
- (866) 534-7057
Authorized Official
- Name
- SHARNELL SPENCER
- Title
- CREDENTIALING MANAGER
- Phone
- (661) 239-6923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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