CHANGE ACADEMY AT LAKE OF THE OZARKS

BENTON, TN
NPI1982425757
Other NameEMBARK BEHAVIORAL HEALTH - TH
Entity TypeOrganization
Authorized ContactSHARNELL SPENCER
Credentialing Manager
661-239-6923
Organization Subpart ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2024-10-23
Last Update Date2025-05-21
Business Address
CHANGE ACADEMY AT LAKE OF THE OZARKS
5842 HIGHWAY 30
BENTON, TN 37307-4734
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: