| NPI | 1821105263 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | SHARON WORSHAM Chief Executive Officer 918-492-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OK K8600196) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |