| NPI | 1841565256 |
|---|---|
| Other Name | APOLLO RESIDENTIAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CARLOS NELSON JORGE President CEO 602-909-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ BH3989) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |