1962005108 CHANGE ACADEMY AT LAKE OF THE OZARKS

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Enumeration Date
November 19, 2020
Last Update
May 21, 2025
Authorized Official
SHARNELL SPENCER
CREDENTIALING MANAGER
Phone: (661) 239-6923

Practice Location

Address
5842 HIGHWAY 30
BENTON, TN 373074734
Phone
(505) 205-5819

Mailing Address

Address
5500 MING AVE STE 410
BAKERSFIELD, CA 933094631
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children N/A N/A Primary

Frequently Asked Questions

What is CHANGE ACADEMY AT LAKE OF THE OZARKS's NPI number?
CHANGE ACADEMY AT LAKE OF THE OZARKS's NPI number is 1962005108.
Which doctor has NPI number 1962005108?
The doctor with NPI number 1962005108 is CHANGE ACADEMY AT LAKE OF THE OZARKS.
What is CHANGE ACADEMY AT LAKE OF THE OZARKS's practice address?
CHANGE ACADEMY AT LAKE OF THE OZARKS's practice address is 5842 HIGHWAY 30, BENTON, TN, 373074734.
Which doctor practices at 5842 HIGHWAY 30, BENTON, TN, 373074734?
CHANGE ACADEMY AT LAKE OF THE OZARKS practices at 5842 HIGHWAY 30, BENTON, TN, 373074734.
What is CHANGE ACADEMY AT LAKE OF THE OZARKS's mailing address?
CHANGE ACADEMY AT LAKE OF THE OZARKS's mailing address is 5500 MING AVE STE 410, BAKERSFIELD, CA, 933094631.
What is CHANGE ACADEMY AT LAKE OF THE OZARKS's phone number?
CHANGE ACADEMY AT LAKE OF THE OZARKS's phone number is (505) 205-5819.
Who is (505) 205-5819?
(505) 205-5819 is the phone number for CHANGE ACADEMY AT LAKE OF THE OZARKS.
What is CHANGE ACADEMY AT LAKE OF THE OZARKS's specialty?
CHANGE ACADEMY AT LAKE OF THE OZARKS's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is CHANGE ACADEMY AT LAKE OF THE OZARKS?
CHANGE ACADEMY AT LAKE OF THE OZARKS is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is CHANGE ACADEMY AT LAKE OF THE OZARKS a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, CHANGE ACADEMY AT LAKE OF THE OZARKS is a Residential Treatment Facility, Emotionally Disturbed Children.
Is CHANGE ACADEMY AT LAKE OF THE OZARKS still practicing?
Yes, CHANGE ACADEMY AT LAKE OF THE OZARKS is currently practicing.
Is CHANGE ACADEMY AT LAKE OF THE OZARKS accepting new patients?
CHANGE ACADEMY AT LAKE OF THE OZARKS may be accepting new patients. Please call their office at (505) 205-5819 to inquire about availability.
Is NPI 1962005108 still active?
Yes, NPI 1962005108 is currently active.
Where does CHANGE ACADEMY AT LAKE OF THE OZARKS practice?
CHANGE ACADEMY AT LAKE OF THE OZARKS practices in BENTON, TN.