CHANGE ACADEMY AT LAKE OF THE OZARKS is a mental health (including community mental health center) clinic center in Ashburn, VA. CHANGE ACADEMY AT LAKE OF THE OZARKS NPI is 1568188340. The provider is registered as an organization entity type.
The provider Other Name Is Embark Virtual At Virginia.
The provider's business location address is:
20116 ASHBROOK PL STE 110
ASHBURN, VA
ZIP 20147-086
Phone: (480) 550-9281
The provider's authorized official is Laura J Brown .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (661) 829-4060.
The CLIA number assigned to this NPI record is 49D2276785 - other - op mental health with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/13/2022 and was last updated on 6/20/2023.