Organization
CHANGE ACADEMY AT LAKE OF THE OZARKS
Active
Parent organization
CHANGE ACADEMY AT LAKE OF THE OZARKS
Other names
Embark Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Authorized official
SHARNELL SPENCER (CREDENTIALING MANAGER)
(661) 239-6923
Entity
Organization
Contact information
Practice address
22022 NELSON RD, BEND, OR 97701-9790
(541) 318-1676
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
04/28/2026
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