OrganizationActive
Shadow Mountain Behavioral Health System
NPI 1710275201 · Foster Care Agency · Tulsa, OK
Provider details
- NPI number
- 1710275201
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Authorized official
- Mike Kistler, Ceo
- License
- 4073 (OK)
Practice location
1013 E 66th Pl
Tulsa, OK 74136-3701
Phone: (918) 293-2500
Fax: (918) 492-2075
Mailing address
1013 E 66th Pl
Tulsa, OK 74136-3701
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2011-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.