Change Academy at Lake of the Ozarks

NPI #1881442333 in Marion, Montana

Provider Information

NPI Number
1881442333
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
May 9, 2024
Last Updated
May 21, 2025

Practice Location

Address
9705 LOST PRAIRIE RD
City
Marion
State
Montana
ZIP Code
59925-9844
Phone
(480) 550-9281

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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