NPI 1194437004

Change Academy at Lake of the Ozarks

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Bend, OR

Practice location

Address: 22022 Nelson Rd, Bend, OR 97701-9790
Phone: (541) 318-1676
Mailing address: 5500 Ming Ave STE 410, Bakersfield, CA 93309-4631

Authorised official

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

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1194437004
Entity type: Organization
NPI issued: 22 Dec 2022
Record last updated: 28 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.