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Change Academy at Lake of the Ozarks — NPI 1194437004, Bend, OR | NPI Central

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NPI 1194437004

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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

Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000X
Residential Treatment Facilities

Practice location

22022 Nelson Rd

Bend, OR 97701-9790

Phone: (541) 318-1676

Approximate (ZIP-level) locationGet directions

More OR providers

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 Rd
Bend, OR 97701-9742
Phone: (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.