Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Mental Health Clinic/Center (Including Community Mental Health Center) · Independence, MO

NPI number 1063102226 Active

Practice location

3205 N Twyman Rd
Independence, MO 64058-3212

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1063102226

Change Academy at Lake of the Ozarks's National Provider Identifier is 1063102226, issued on May 11, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Independence, MO. The record was last updated on May 15, 2025.