CHANGE ACADEMY AT LAKE OF THE OZARKS

SAN RAFAEL, CA
NPI1225722093
Doing Business AsEMBARK BEHAVIORAL HEALTH
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 Date2023-06-05
Last Update Date2023-06-05
Business Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
4000 CIVIC CENTER DR STE 102
SAN RAFAEL, CA 94903-4171
Phone number: 415-578-5727
Mailing Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
5500 MING AVE STE 410
BAKERSFIELD, CA 93309-4631
Phone number: 661-622-4132