Shadow Mountain Behavioral Health System LLC

NPI #1316091457 in Tulsa, Oklahoma

Provider Information

NPI Number
1316091457
Entity Type
Organization
Organization Name
Shadow Mountain Behavioral Health System LLC
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Jan 23, 2007
Last Updated
Mar 30, 2010

Practice Location

Address
1027 E 66TH PL
City
Tulsa
ZIP Code
74136-3701
Phone
(918) 293-2552

Authorized Official

Name
MIKE KISTLER
Title
CEO
Phone
(918) 492-8200

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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Shadow Mountain Behavioral Health System, LLC

Part of Psychiatric Solutions INC

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