Organization · Type 2 NPI

Shadow Mountain Behavioral Health System, LLC

Medical Specialty Clinic/Center · Tulsa, OK

NPI number 1124037288 Active

Practice location

6262 S Sheridan Rd
Tulsa, OK 74133-4055

Fax (918) 493-3268

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

15 other providers at this address

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About NPI 1124037288

Shadow Mountain Behavioral Health System, LLC's National Provider Identifier is 1124037288, issued on Aug 7, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Tulsa, OK. The record was last updated on Jul 21, 2022.