OrganizationActive
Change Academy at Lake of the Ozarks
NPI 1962005108 · Emotionally Disturbed Childrens' Residential Treatment Facility · Benton, TN
Provider details
- NPI number
- 1962005108
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Change Academy at Lake of the Ozarks, LLC
- Authorized official
- Sharnell Spencer, Credentialing Manager
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 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.