# OCALA BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Vines Hospital Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366816118
- **Authorized official:** STEPHEN QUINTYNE (CEO)
- **Authorized official phone:** (352) 671-3130

## Contact information

- **Practice address:** 3130 SW 27TH AVE, OCALA, FL 34471-4306
- **Practice address phone:** (352) 671-3130
- **Practice address fax:** (352) 387-0767
- **Mailing address:** 3130 SW 27TH AVE, OCALA, FL 34471-4306
- **Mailing address phone:** (352) 671-3130
- **Mailing address fax:** (352) 387-0767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 11/17/2015