Change Academy at Lake of the Ozarks
Change Academy at Lake of the Ozarks is an Emotionally Disturbed Childrens' Residential Treatment Facility in Benton, Tennessee. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5842 Highway 30Benton, TN 37307-4734
Phone: (505) 205-5819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1225645674 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Change Academy at Lake of the Ozarks |
| Authorized official | Sharnell Spencer — Credentialing Manager · (661) 239-6923 |
| Other names | The Forge School; The Forge School |
| NPI enumerated | September 29, 2020 |
| Last updated in NPPES | May 21, 2025 |
| Certification date | May 21, 2025 |
| Mailing address | 5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631 |
Other providers in Benton
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Change Academy at Lake of the Ozarks
5842 Highway 30, Benton, TN 37307-4734 · (505) 205-5819