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A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Preferred Provider Organization |
305R00000X |
| NPI # | 1528469772 |
||||
| LBN Legal business name | CHANGE ACADEMY LAKE OZARK | ||||
| Authorized official | DENISE HAGEMANN - (OTR/L) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/08/2014 | ||||
| Last updated | 05/22/2015 - About 11 years ago | ||||
| Identifiers |
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CHANGE ACADEMY LAKE OZARK
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CHANGE ACADEMY LAKE OZARK