OrganizationActive
Change Academy at Lake of the Ozarks
NPI 1194437004 · Emotionally Disturbed Childrens' Residential Treatment Facility · Bend, OR
Provider details
- NPI number
- 1194437004
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Change Academy at Lake of the Ozarks
- Organization subpart
- Yes
- Authorized official
- Sharnell Spencer, Credentialing Manager(661) 239-6923
Specialties & taxonomies
Residential Treatment Facilities
Practice location
22022 Nelson Rd
Bend, OR 97701-9790
Phone: (541) 318-1676
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other names (DBA / former)
- Doing business as
- Embark Behavioral Health
Additional practice locations (1)
- 63140 Dickey RdBend, OR 97701-9742Phone: (541) 318-1676
Registry dates
- Enumerated
- 2022-12-22
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.