Change Academy at Lake of the Ozarks
Change Academy at Lake of the Ozarks is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Rafael, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4000 Civic Center Dr Ste 102San Rafael, CA 94903-4171
Phone: (415) 578-5727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1225722093 |
|---|---|
| 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 | Embark Behavioral Health; Embark Behavioral Health |
| NPI enumerated | June 5, 2023 |
| Last updated in NPPES | May 21, 2025 |
| Certification date | May 21, 2025 |
| Mailing address | 5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631 |
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