National Provider Identifier Database

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM LLC
Psychiatric Residential Treatment Facility

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 psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient?s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary


Contact Information

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM LLC
1027 E 66TH PL
TULSA, OK74136-3701
Phone: 918-293-2552
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM LLC

NPI Number 1316091457
Legal business name
LBN
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM LLC
Authorized official MIKE KISTLER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 03/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: K8500227
  • OK Medicaid: 200006820Q

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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