Organization · NPI-2

Change Academy At Lake Of The Ozarks

Community/Behavioral Health · Woodland Hills, CA

NPI number1447964267
StatusActive
Last updated in NPPESMay 21, 2025

Details

NPI
1447964267
Entity type
Organization (NPI-2)
Legal business name
Change Academy At Lake Of The Ozarks
Organization subpart
Yes
Enumeration date
Jan 6, 2023
Certification date
May 21, 2025
Last updated
May 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Other names

  • Embark Behavioral Health (Doing Business As)

Practice location

21051 Warner Center Ln Ste 140
Woodland Hills, CA 91367-7088

Phone 818-826-2377

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Phone 661-622-4132

Authorized official

Sharnell Spencer
Credentialing Manager
6612396923

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