Organization · Type 2 NPI

Shadow Mountain Behavioral Health System, LLC

Psychiatric Residential Treatment Facility · Tulsa, OK

NPI number 1285867713 Active

Practice location

4012 E 35th St
Tulsa, OK 74135-4528

Call (918) 492-8200 Map

Fax (918) 493-3268

Mailing address

6262 S Sheridan Rd
Tulsa, OK 74133-4055

Specialties and licenses

Taxonomy	Code	License
Psychiatric Residential Treatment Facility Primary	323P00000X	None listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

4 other providers at this address

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NPI record

NPI: 1285867713
Entity type: Organization (Type 2)
Issued: Sep 1, 2009
Last updated: Sep 1, 2009
Status: Active
Subpart: Yes of Psychiatric Solutions Inc

Other names

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Shadow Mountain Behavioral Health System · doing business as

Authorized official

Mike Kistler
Chief Executive Officer
(918) 492-8200

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About NPI 1285867713

Shadow Mountain Behavioral Health System, LLC's National Provider Identifier is 1285867713, issued on Sep 1, 2009. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 1, 2009.