| NPI | 1316091457 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE KISTLER CEO 918-492-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OK K8500227) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-03-30 |