| 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 |