Provider Demographics
NPI:1154440832
Name:APOLLO PSYCHIATRIC SERVICES
Entity Type:Organization
Organization Name:APOLLO PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:ACTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-201-5439
Mailing Address - Street 1:705 S MUSTANG RD
Mailing Address - Street 2:#306
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6778
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 W ARMSTRONG DR STE A
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-3100
Practice Address - Country:US
Practice Address - Phone:405-688-6111
Practice Address - Fax:405-688-6112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty