Organization
PB OUTPATIENT SERVICES TENNESSEE, LLC
Active
Other names
The Ranch Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT M. SASSERSON (CEO)
(931) 994-8001
Entity
Organization
Contact information
Practice address
6275 PINEWOOD RD, NUNNELLY, TN 37137-2523
(931) 729-9728
(931) 729-9632
Mailing address
PO BOX 207816, DALLAS, TX 75320-7816
(847) 329-4100
(847) 329-4900
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
03/07/2022
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