Change Academy At Lake Of The Ozarks

LBN: Change Academy At Lake Of The Ozarks
Change Academy At Lake Of The Ozarks is an health care organization with primary practice located at 4000 Civic Center Dr Ste 102 , San Rafael CA 94903-4171. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Change Academy At Lake Of The Ozarks can be contacted via phone (415) 578-5727, or through Brown, Laura J via phone (661) 829-4060.

Contact Information

Primary practice address
4000 Civic Center Dr Ste 102 San Rafael CA 94903-4171
Phone: (415) 578-5727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Laura J
Phone: (661) 829-4060

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1225722093
LBN Legal business name Change Academy At Lake Of The Ozarks
DBA Doing business as
Authorized official Brown, Laura J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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