Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANGE ACADEMY AT LAKE OF THE OZARKS
Active OrganizationResidential Treatment, Emotionally Disturbed Children · BENTON, TN
Registration Details
- NPI Number
- 1962005108
- Provider Type
- Organization
- NPI Issued
- Nov 19, 2020 (5.422266323173 yrs)
- Last Updated
- May 21, 2025
Practice Information
- Address
-
5842 HIGHWAY 30BENTON, TN, 373074734Browse TN providers · Browse ZIP 37307
- Phone
- 5052055819
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Organizations in BENTON, TN
| Name | NPI |
|---|---|
| CHANGE ACADEMY AT LAKE OF THE OZARKS | 1225645674 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.