Shadow Mountain Behavioral Health System, Llc in Tulsa - Psychiatric Residential Treatment Facility
Shadow Mountain Behavioral Health System, Llc - NPI 1831304351
Shadow Mountain Behavioral Health System, Llc is a Psychiatric Residential Treatment Facility in Tulsa, Oklahoma. Shadow Mountain Behavioral Health System, Llc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Shadow Mountain Behavioral Health System, Llc is 1831304351. The last update date is 2020-08-22.
Shadow Mountain Behavioral Health System, Llc's current location address is 6262 S Sheridan Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9185973623. The mailing address for Shadow Mountain Behavioral Health System, Llc is 6262 S Sheridan Rd, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadow Mountain Behavioral Health System, Llc |
|---|---|
| Address | 6262 S Sheridan Rd, Tulsa, Oklahoma |
| Phone Number | 9185973623 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kistler Mike |
| Telephone Number | 9184928200 |
NPI Number Detail
| NPI Number | 1831304351 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6262 S Sheridan Rd |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741334055 |
| Phone Number | 9185973623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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What is the unique 10-digit identification code assigned to Shadow Mountain Behavioral Health System, Llc by the Centers for Medicare & Medicaid Services?
The Shadow Mountain Behavioral Health System, Llc has been issued the NPI (National Provider Identifier) 1831304351, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shadow Mountain Behavioral Health System, Llc?
The Shadow Mountain Behavioral Health System, Llc is situated at 6262 S Sheridan Rd, in the city of Tulsa, state of OK, with the zip code 741334055.
What is the Shadow Mountain Behavioral Health System, Llc's specialty and taxonomy code?
The Shadow Mountain Behavioral Health System, Llc's specialty is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code is 323P00000X.
When did Shadow Mountain Behavioral Health System, Llc receive its 1831304351 assignment?
The Shadow Mountain Behavioral Health System, Llc was assigned its 1831304351 on 2007-05-10, which is the date when this unique identifier was issued to the organization.
When was the information regarding Shadow Mountain Behavioral Health System, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shadow Mountain Behavioral Health System, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.