CHANGE ACADEMY AT LAKE OF THE OZARKS

STAFFORD, TX
NPI1013635085
Other NameEMBARK VIRTUAL AT TEXAS
Entity TypeOrganization
Authorized ContactLAURA J BROWN
VP Of Revenue Cycle Management
661-829-4060
Organization Subpart ?Yes
Primary Taxonomy261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date2022-08-16
Last Update Date2023-06-20
Business Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
4800 SUGAR GROVE BLVD STE 275
STAFFORD, TX 77477-2150
Phone number: 888-491-4177
Mailing Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
5500 MING AVE STE 410
BAKERSFIELD, CA 93309-4631
Phone number: 661-622-4132