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
5350 S WESTERN AVE, SUITE 555, OKLAHOMA CITY, OK 73109-4520
(405) 631-4567
(405) 996-2113
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
08/30/2006
Last updated
07/21/2022
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