Healthcare Provider Details

I. General information

NPI: 1902727712
Provider Name (Legal Business Name): APOLLO ADOLESCENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 PENINSULA CORPORATE CIR STE 2022
BOCA RATON FL
33487-1389
US

IV. Provider business mailing address

10675 TIDES TER
PARKLAND FL
33076-3882
US

V. Phone/Fax

Practice location:
  • Phone: 561-270-3500
  • Fax:
Mailing address:
  • Phone: 443-455-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WARD WILLSON GRIFFITH V
Title or Position: OWNER
Credential:
Phone: 443-455-0313