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Change Academy at Lake of the Ozarks

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Springville, UT

NPI 1659900835 · NPPES record last updated May 21, 2025

Key facts

NPI
1659900835
Entity type
Organization (NPI type 2)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Legal business name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Practice address
266 South Left Fork Hobble Creek Canyon Road
Springville, UT 84663
Phone
(866) 534-7057
NPI assigned
Apr 8, 2020
Organization subpart
Yes
Parent organization (as reported)
CHANGE ACADEMY AT LAKE OF THE OZARKS

Authorized official

Name
Sharnell Spencer
Title
Credentialing Manager
Phone
(661) 239-6923

Corporate family (same tax ID) 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

National Provider Directory

Tax ID family
Change Academy at Lake of the Ozarks (39 organizations share this tax ID)
Part of
Change Academy at Lake of the Ozarks

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Yes

Addresses

Primary practice location

266 South Left Fork Hobble Creek Canyon Road
Springville, UT 84663

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132

Other names

  • Potomac at Hobble Creek Doing business as

Other providers in Springville, UT

All providers in Springville, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

Sources for this page

Verify at the official NPI Registry.