# SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shadow Mountain Behav Health-Threshold
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184941148
- **Authorized official:** STEVE FILTON (SRVP CFO)
- **Authorized official phone:** (610) 768-3300

## Contact information

- **Practice address:** 6262 S SHERIDAN RD, TULSA, OK 74133-4055
- **Practice address phone:** (918) 492-8200
- **Practice address fax:** (918) 492-2849
- **Mailing address:** 6262 S SHERIDAN RD, TULSA, OK 74133-4055
- **Mailing address phone:** (918) 492-8200
- **Mailing address fax:** (918) 492-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | K8500226 | OK | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 05/12/2011