| NPI | 1528383841 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEVIN BURGESS CEO 918-492-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: OK 25487) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |