SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM LLC NPI 1902224801

NPI Information

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC is a psychiatric hospital in Tulsa, OK. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC NPI is 1902224801. The provider is registered as an organization entity type.

The provider's business location address is:

6262 S SHERIDAN RD
TULSA, OK
ZIP 74133-055
Phone: (918) 492-8200

The provider's authorized official is Mike K Kistler .
The authorized official title is Ceo and has the following contact phone number (918) 492-8200.

The enumeration date for this NPI number is 3/29/2014 and was last updated on 3/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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