# 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
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528383841
- **Legal business name:** PSYCHIATRIC SOLUTIONS, INC
- **Authorized official:** KEVIN BURGESS (CEO)
- **Authorized official phone:** (918) 492-8200

## Contact information

- **Practice address:** 1027 E 66TH PL, TULSA, OK 74136-3701
- **Practice address phone:** (918) 492-8200
- **Practice address fax:** (918) 488-0940
- **Mailing address:** 6262 S SHERIDAN RD, TULSA, OK 74133-4055
- **Mailing address phone:** (918) 492-8200
- **Mailing address fax:** (918) 492-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 25487 | OK | Yes |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 03/30/2010