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Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Active
Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Active
Other names
Shadow Mountain Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WORSHAM (CHIEF EXECUTIVE OFFICER)
(918) 492-8200
Entity
Organization
Contact information
Practice address
6125 S SHERIDAN RD, SUITE D, TULSA, OK 74133-4056
(918) 585-3083
(918) 492-2075
Mailing address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 492-8200
(918) 493-3268
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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