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Change Academy at Lake of the Ozarks

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Ozark, MO

NPI 1710705348 · NPPES record last updated Sep 1, 2026

Key facts

NPI
1710705348
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
130 Calo LN
Lake Ozark, MO 65049-9208
Phone
(573) 365-2221
NPI assigned
Oct 2, 2024
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

130 Calo LN
Lake Ozark, MO 65049-9208

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Other providers in Lake Ozark, MO

All providers in Lake Ozark, MO · Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.