| NPI | 1982005971 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MIKE KISTLER Chief Executive Officer 918-492-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |