NPI 1710275201
Shadow Mountain Behavioral Health System
Practice location
- Address
- 1013 E 66th Pl, Tulsa, OK 74136-3701
- Phone
- (918) 293-2500
- Fax
- (918) 492-2075
Authorised official
- Name
- Mike Kistler
- Title
- Ceo
- Phone
- (918) 492-8200
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1710275201
- Entity type
- Organization
- NPI issued
- 18 Jul 2011
- Record last updated
- 18 Jul 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.