NPI | 1366816118 |
---|---|
Doing Business As | THE VINES HOSPITAL PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | STEPHEN QUINTYNE CEO 352-671-3130 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2015-11-17 |
Last Update Date | 2015-11-17 |