| NPI | 1285867713 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | MIKE KISTLER Chief Executive Officer 918-492-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |