Organization
VINE PSYCHIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG HOON BAE M.D. (OWNER)
(703) 830-1800
Entity
Organization
Contact information
Practice address
14631 ROUTE 29 STE 209, CENTREVILLE, VA 20121-5827
(703) 830-1800
(703) 830-1800
Mailing address
14631 ROUTE 29 STE 209, CENTREVILLE, VA 20121-5827
(703) 830-1800
(703) 830-1801
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/29/2018
Last updated
06/13/2024
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