NPI 1316130784

Change Academy at Lake of the Ozarks

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lake Ozark, MO

Practice location

Address: 130 Calo Lane, Lake Ozark, MO 65049
Phone: (573) 365-2221
Fax: (573) 365-2224
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 (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 105270 (MO)

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Registry record

NPI: 1316130784
Entity type: Organization
NPI issued: 20 Aug 2007
Record last updated: 21 May 2025

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.