CHANGE ACADEMY AT LAKE OF THE OZARKS

RENO, NV
NPI1538995071
Other NameEMBARK VIRTUAL AT NEVADA
Entity TypeOrganization
Authorized ContactSHARNELL SPENCER
Credentialing Manager
661-239-6923
Organization Subpart ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2024-09-11
Last Update Date2025-05-21
Business Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
5470 KIETZKE LN STE 300
RENO, NV 89511-2099
Phone number: 480-550-9281
Mailing Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
5500 MING AVE STE 410
BAKERSFIELD, CA 93309-4631
Phone number: