Change Academy Lake of the Ozarks
NPI #1790039261 in Lake Ozark, Missouri
Provider Information
- NPI Number
- 1790039261
- Entity Type
- Organization
- Organization Name
- Change Academy Lake of the Ozarks
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 5, 2012
- Last Updated
- Nov 5, 2012
Practice Location
- Address
- 130 CALO LN
- City
- Lake Ozark
- State
- Missouri
- ZIP Code
- 65049-9208
- Phone
- (866) 753-1373
Authorized Official
- Name
- MRS. KIM PAGE
- Title
- THERAPIST
- Phone
- (573) 200-1608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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