Shadow Mountain Behavioral Health System, Llc in Tulsa - Residential Treatment Facility, Emotionally Disturbed Children
Shadow Mountain Behavioral Health System, Llc - NPI 1841304250
Shadow Mountain Behavioral Health System, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Tulsa, Oklahoma. Shadow Mountain Behavioral Health System, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Shadow Mountain Behavioral Health System, Llc is 1841304250. The last update date is 2020-08-22.
Shadow Mountain Behavioral Health System, Llc's current location address is 6262 S Sheridan Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9184928200 and fax number 9184933268. The mailing address for Shadow Mountain Behavioral Health System, Llc is 6262 S Sheridan Rd, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadow Mountain Behavioral Health System, Llc |
|---|---|
| Address | 6262 S Sheridan Rd, Tulsa, Oklahoma |
| Phone Number | 9184928200 |
| Fax Number | 9184933268 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Worsham Sharon |
| Telephone Number | 9184928200 |
NPI Number Detail
| NPI Number | 1841304250 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6262 S Sheridan Rd |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741334055 |
| Phone Number | 9184928200 |
| Fax Number | 9184933268 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | K8500225 |
|
Definition: 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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shadow Mountain Behavioral Health System, Llc by the Centers for Medicare & Medicaid Services?
The Shadow Mountain Behavioral Health System, Llc has been assigned the NPI (National Provider Identifier) 1841304250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shadow Mountain Behavioral Health System, Llc is physically located?
The Shadow Mountain Behavioral Health System, Llc is physically situated at the following address: 6262 S Sheridan Rd, Tulsa, OK, 741334055.
What is Shadow Mountain Behavioral Health System, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shadow Mountain Behavioral Health System, Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
When did Shadow Mountain Behavioral Health System, Llc receive its 1841304250 assignment?
The Shadow Mountain Behavioral Health System, Llc was assigned its 1841304250 on 2006-08-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Shadow Mountain Behavioral Health System, Llc's details last updated?
The information pertaining to the Shadow Mountain Behavioral Health System, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN