Whalio Doctors

NPI 1528714557

Change Academy at Lake of the Ozarks

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Marion, MT

Practice location

Address
9705 Lost Prairie Rd, Marion, MT 59925-9844
Phone
(406) 858-2339
Fax
(406) 858-2356
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

Registry record

NPI
1528714557
Entity type
Organization
NPI issued
28 Feb 2022
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.