Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Active
Parent organization
PSYCHIATRIC SOLUTIONS INC
Other names
Shadow Mountain Behavioral Health System
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHIATRIC SOLUTIONS INC
Authorized official
MIKE KISTLER (CHIEF EXECUTIVE OFFICER)
(918) 492-8200
Entity
Organization
Contact information
Practice address
4012 E 35TH ST, TULSA, OK 74135-4528
(918) 492-8200
(918) 493-3268
Mailing address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 492-8200
(918) 493-3268
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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