Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH CARE SYSTEM, LLC
Active
Other names
Shadow Mountain Behavioral Health Care System
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1027 E 66TH PL, TULSA, OK 74136-3701
(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
K8500227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006820G
—
OK
Enumeration date
01/22/2007
Last updated
05/12/2011
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