Organization
CALO YOUNG ADULT
Active
Parent organization
CHANGE ACADEMY AT LAKE OF THE OZARKS
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
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132
(573) 365-2224
Mailing address
PO BOX 1810, LAKE OZARK, MO 65049-1810
(661) 622-4132
(573) 365-2224
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/21/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up