# SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PSYCHIATRIC SOLUTIONS INC
- **Other names:** Shadow Mountain Behavioral Health System
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285867713
- **Legal business name:** PSYCHIATRIC SOLUTIONS INC
- **Authorized official:** MIKE KISTLER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (918) 492-8200

## Contact information

- **Practice address:** 4012 E 35TH ST, TULSA, OK 74135-4528
- **Practice address phone:** (918) 492-8200
- **Practice address fax:** (918) 493-3268
- **Mailing address:** 6262 S SHERIDAN RD, TULSA, OK 74133-4055
- **Mailing address phone:** (918) 492-8200
- **Mailing address fax:** (918) 493-3268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 09/01/2009