OrganizationActive
Change Academy at Lake of the Ozarks
NPI 1225645674 · Emotionally Disturbed Childrens' Residential Treatment Facility · Benton, TN
Provider details
- NPI number
- 1225645674
- 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
5842 Highway 30
Benton, TN 37307-4734
Phone: (505) 205-5819
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other names (DBA / former)
- Other name
- The Forge School
- Other name
- The Forge School
Registry dates
- Enumerated
- 2020-09-29
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.