NPI 1841304250

Shadow Mountain Behavioral Health System, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Norman, OK

Practice location

Address: 2801 Venture Dr, Norman, OK 73069-8215
Phone: (405) 447-9498
Fax: (405) 447-1911
Mailing address: 6262 S Sheridan Rd, Tulsa, OK 74133-4055

Authorised official

Name: Sharon Worsham
Title: Chief Executive Officer
Phone: (918) 492-8200

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence K8500225 (OK)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oklahoma →

Registry record

NPI: 1841304250
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.