Change Academy at Lake of the Ozarks

NPI #1811610918 in Independence, Missouri

Provider Information

NPI Number
1811610918
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
Sep 22, 2022
Last Updated
May 21, 2025

Practice Location

Address
3205 N TWYMAN RD
ZIP Code
64058-3211
Phone
(816) 249-5350

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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