CHANGE ACADEMY AT LAKE OF THE OZARKS NPI 1376223511

NPI Information

  • NPI: 1376223511
  • Provider Name: CHANGE ACADEMY AT LAKE OF THE OZARKS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: EMBARK BEHAVIORAL HEALTH
  • Address: 370 N WIGET LN STE 100
    WALNUT CREEK, CA
    ZIP 94598
  • Phone: (925) 658-3923

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NPI Details

CHANGE ACADEMY AT LAKE OF THE OZARKS is a mental health (including community mental health center) clinic center in Walnut Creek, CA. CHANGE ACADEMY AT LAKE OF THE OZARKS NPI is 1376223511. The provider is registered as an organization entity type.
The provider Is Doing Business As Embark Behavioral Health.

The provider's business location address is:

370 N WIGET LN STE 100
WALNUT CREEK, CA
ZIP 94598-454
Phone: (925) 658-3923

The provider's authorized official is Laura J Brown .
The authorized official title is Vice President Of Rcm and has the following contact phone number (661) 829-4060.

The enumeration date for this NPI number is 7/21/2023 and was last updated on 8/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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