Provider Demographics
NPI:1154688315
Name:APOLLO BEHAVIORAL HEALTH HOSPITAL, LLC
Entity Type:Organization
Organization Name:APOLLO BEHAVIORAL HEALTH HOSPITAL, LLC
Other - Org Name:APOLLO BEHAVIORAL HEALTH HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GOPINATH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-663-2881
Mailing Address - Street 1:PO BOX 40816
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70835-0816
Mailing Address - Country:US
Mailing Address - Phone:225-663-2881
Mailing Address - Fax:
Practice Address - Street 1:9938 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8100
Practice Address - Country:US
Practice Address - Phone:225-663-2881
Practice Address - Fax:225-424-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care