Organization
OCALA BEHAVIORAL HEALTH LLC
Active
Other names
The Vines Hospital Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN QUINTYNE (CEO)
(352) 671-3130
Entity
Organization
Contact information
Practice address
3130 SW 27TH AVE, OCALA, FL 34471-4306
(352) 671-3130
(352) 387-0767
Mailing address
3130 SW 27TH AVE, OCALA, FL 34471-4306
(352) 671-3130
(352) 387-0767
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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