NPI 1811610918

Change Academy at Lake of the Ozarks

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Independence, MO

Practice location

Address: 3205 N Twyman Rd, Independence, MO 64058-3211
Phone: (816) 249-5350
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 Missouri →

Registry record

NPI: 1811610918
Entity type: Organization
NPI issued: 22 Sep 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.