Change Academy At Lake Of The Ozarks | |
2222 Ponce De Leon Blvd Coral Gables FL 33134-5039 | |
(480) 550-9281 | |
Not Available |
Full Name | Change Academy At Lake Of The Ozarks |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2222 Ponce De Leon Blvd, Coral Gables, Florida |
Authorized Official Name and Position | Laura J Brown (VP OF REVENUE CYCLE MANAGEMENT) |
Authorized Official Contact | 6618294060 |
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 2222 Ponce De Leon Blvd Coral Gables FL 33134-5039 Ph: (480) 550-9281 |
NPI Number | 1053171710 |
---|---|
Provider Enumeration Date | 03/20/2024 |
Last Update Date | 03/20/2024 |
Certification Date | 03/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053171710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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