OrganizationActive
Change Academy Lake Ozark
NPI 1528469772 · Clinic/Center · Lake Ozark, MO
Provider details
- NPI number
- 1528469772
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Hagemann, Otr/L(573) 552-8007
- License
- 016604 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Agencies
Managed Care Organizations
Practice location
130 Calo Ln
Lake Ozark, MO 65049-9208
Phone: (573) 365-2221
Fax: (573) 365-2224
Approximate (ZIP-level) locationGet directions
Mailing address
130 Calo Ln
Lake Ozark, MO 65049-9208
Registry dates
- Enumerated
- 2014-09-08
- Last updated
- 2015-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.