Organization · Type 2 NPI

Change Academy Lake of the Ozarks

Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Ozark, MO

NPI number 1134475635 Active

Practice location

130 Calo Ln
Lake Ozark, MO 65049-9208

Call (573) 200-1605 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1134475635

Change Academy Lake of the Ozarks's National Provider Identifier is 1134475635, issued on Aug 2, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lake Ozark, MO. The record was last updated on Aug 2, 2012.