institution
Change Academy At Lake Of The Ozarks
Emotionally Disturbed Childrens' Residential Treatment Facility in Benton, Tennessee
NPI 1225645674

Change Academy At Lake Of The Ozarks is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Bakersfield, TN. Change Academy At Lake Of The Ozarks practices in Benton, TN. The NPI Number for Change Academy At Lake Of The Ozarks is 1225645674 and holds a License No. (Tennessee).

The current practice location address for Change Academy At Lake Of The Ozarks is 5842 Highway 30, Benton, TN and can be reached out via phone at 505-205-5819.

Location: 5842 Highway 30, Benton, TN, 93309-4631
institution
Provider Profile Details
NPI Number
1225645674
Provider Name
Change Academy At Lake Of The Ozarks
Credential
Provider Entity Type
Organization
Address
5842 Highway 30, Benton, TN, 93309-4631
Phone Number
505-205-5819
Fax Number
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5842 Highway 30
City
State
Zip
37307-4734
Phone Number
505-205-5819
Fax Number
person
Provider Business Mailing Address Details
Address
5842 Highway 30
City
State
Zip
37307-4734
Phone Number
505-205-5819
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
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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