| NPI | 1831304351 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM AT EAGLE CREEK |
| Entity Type | Organization |
| Authorized Contact | MIKE KISTLER CEO 918-492-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |