NPI 1114404530
Pb Outpatient Services Tennessee, LLC
Practice location
- Address
- 6275 Pinewood Rd, Nunnelly, TN 37137-2523
- Phone
- (931) 729-9728
- Fax
- (931) 729-9632
- Mailing address
- PO Box 207816, Dallas, TX 75320-7816
Authorised official
- Name
- Scott M. Sasserson
- Title
- Ceo
- Phone
- (931) 994-8001
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1114404530
- Entity type
- Organization
- NPI issued
- 27 Jul 2018
- Record last updated
- 7 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.