CHANGE ACADEMY AT LAKE OF THE OZARKS

CHICAGO, IL
NPI1720848484
Other NameEMBARK VIRTUAL AT ILLINOIS
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 Date2024-03-20
Last Update Date2024-10-16
Business Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604-4393
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: 661-622-4132