Organization · Type 2 NPI

Shadow Mountain Behavioral Health System, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Tulsa, OK

NPI number 1740384049 Active

Practice location

6125 S Sheridan Rd, Suite D
Tulsa, OK 74133-4056

Fax (918) 492-2075

Mailing address

6262 S Sheridan Rd
Tulsa, OK 74133-4055

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1740384049

Shadow Mountain Behavioral Health System, LLC's National Provider Identifier is 1740384049, issued on Sep 8, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tulsa, OK. The record was last updated on Aug 22, 2020.