Organization · Type 2 NPI

Shadow Mountain Behavioral Health System, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Norman, OK

NPI number 1841304250 Active

Practice location

2801 Venture Dr
Norman, OK 73069-8215

Fax (405) 447-1911

Mailing address

6262 S Sheridan Rd
Tulsa, OK 74133-4055

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XK8500225 (OK)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1841304250

Shadow Mountain Behavioral Health System, LLC's National Provider Identifier is 1841304250, issued on Aug 19, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Norman, OK. The record was last updated on Aug 22, 2020.