Shadow Mountain Behavioral Health System, LLC

NPI #1841304250 in Norman, Oklahoma

Provider Information

NPI Number: 1841304250
Entity Type: Organization
Organization Name: Shadow Mountain Behavioral Health System, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Aug 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2801 VENTURE DR
City: Norman
State: Oklahoma
ZIP Code: 73069-8215
Phone: (405) 447-9498

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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