Shadow Mountain Behavioral Health System, LLC

NPI #1821105263 in Tulsa, Oklahoma

Provider Information

NPI Number: 1821105263
Entity Type: Organization
Organization Name: Shadow Mountain Behavioral Health System, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Aug 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6125 S SHERIDAN RD
Address 2: SUITE D
City: Tulsa
State: Oklahoma
ZIP Code: 74133-4056
Phone: (918) 585-3083

Authorized Official

Name: SHARON WORSHAM
Title: CHIEF EXECUTIVE OFFICER
Phone: (918) 492-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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