| Change Academy At Lake Of The Ozarks | |
|
7945 Macarthur Blvd Ste 214 Cabin John MD 20818-1634 | |
| (301) 987-7284 | |
| Not Available |
| Full Name | Change Academy At Lake Of The Ozarks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7945 Macarthur Blvd Ste 214, Cabin John, Maryland |
| Authorized Official Name and Position | Sharnell Spencer (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6612396923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Academy At Lake Of The Ozarks 5500 Ming Ave Ste 410 Bakersfield CA 93309-4631 Ph: (661) 622-4132 | Change Academy At Lake Of The Ozarks 7945 Macarthur Blvd Ste 214 Cabin John MD 20818-1634 Ph: (301) 987-7284 |
| NPI Number | 1902435399 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902435399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pinnacle Reflections Therapeutic Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6938 Seven Locks Rd, Cabin John, MD 20818 Phone: 301-802-4591 | |
Potomac Pathways, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7945 Macarthur Blvd, Suite 214, Cabin John, MD 20818 Phone: 301-987-7284 Fax: 240-630-8847 |