Embark At The Forge

LBN: Change Academy At Lake Of The Ozarks
Embark At The Forge is an health care organization with primary practice located at 5842 Highway 30 , Benton TN 37307-4734. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Change Academy At Lake Of The Ozarks can be contacted via phone (505) 205-5819, or through Brown, Laura J via phone (661) 829-4060.

Contact Information

Primary practice address
5842 Highway 30 Benton TN 37307-4734
Phone: (505) 205-5819
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Laura J
Phone: (661) 829-4060

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1962005108
LBN Legal business name Change Academy At Lake Of The Ozarks
DBA Doing business as Embark At The Forge
Authorized official Brown, Laura J
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2020
Last updated Nov 29th, 2023 - about last year

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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