# CHANGE ACADEMY AT LAKE OF THE OZARKS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHANGE ACADEMY AT LAKE OF THE OZARKS
- **Other names:** Embark Behavioral Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447098959
- **Legal business name:** CHANGE ACADEMY AT LAKE OF THE OZARKS
- **Authorized official:** SHARNELL SPENCER (CREDENTIALING MANAGER)
- **Authorized official phone:** (661) 239-6923

## Contact information

- **Practice address:** 7809 SCHELHORN RD, ALEXANDRIA, VA 22306-2825
- **Practice address phone:** (571) 489-4879
- **Mailing address:** 5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 05/21/2025