Whalio Doctors

NPI 1184941148

Shadow Mountain Behavioral Health System, LLC

Organisation Psychiatric Residential Treatment Facility Tulsa, OK

Practice location

Address
6262 S Sheridan Rd, Tulsa, OK 74133-4055
Phone
(918) 492-8200
Fax
(918) 492-2849

Authorised official

Name
Steve Filton
Title
Srvp Cfo
Phone
(610) 768-3300

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence K8500226 (OK)

Registry record

NPI
1184941148
Entity type
Organization
NPI issued
29 Apr 2010
Record last updated
12 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.