institution
Change Academy At Lake Of The Ozarks
Mental Health Clinic/Center (Including Community Mental Health Center) in San Rafael, California
NPI 1225722093

Change Academy At Lake Of The Ozarks is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bakersfield, CA and is specialized in Mental Health (Including Community Mental Health Center). Change Academy At Lake Of The Ozarks practices in San Rafael, CA. The NPI Number for Change Academy At Lake Of The Ozarks is 1225722093 and holds a License No. (California).

The current practice location address for Change Academy At Lake Of The Ozarks is 4000 Civic Center Dr Ste 102, San Rafael, CA and can be reached out via phone at 415-578-5727.

Location: 4000 Civic Center Dr Ste 102, San Rafael, CA, 93309-4631
institution
Provider Profile Details
NPI Number
1225722093
Provider Name
Change Academy At Lake Of The Ozarks
Credential
Provider Entity Type
Organization
Address
4000 Civic Center Dr Ste 102, San Rafael, CA, 93309-4631
Phone Number
415-578-5727
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4000 Civic Center Dr Ste 102
City
State
Zip
94903-4171
Phone Number
415-578-5727
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Civic Center Dr Ste 102
City
State
Zip
94903-4171
Phone Number
415-578-5727
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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