Organization
PB OUTPATIENT SERVICES PENNSYLVANIA, LLC
Active
Other names
The Ranch Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PRICKETT (CFO)
(615) 364-1904
Entity
Organization
Contact information
Practice address
1166 HILTS RD, WRIGHTSVILLE, PA 17368-9205
(562) 303-9506
Mailing address
103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
(888) 289-2169
(615) 261-8901
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
10/28/2025
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