CHANGE ACADEMY AT LAKE OF THE OZARKS

LOS ANGELES, CA
NPI1710690706
Doing Business AsEMBARK BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactLAURA J BROWN
VP Of Revenue Cycle Management
661-829-4060
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2023-01-04
Last Update Date2023-06-20
Business Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
11620 WILSHIRE BLVD STE 1150
LOS ANGELES, CA 90025-1283
Phone number: 213-946-5247
Mailing Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
5500 MING AVE STE 410
BAKERSFIELD, CA 93309-4631
Phone number: 661-622-4132