Buffalo Valley, INC.
Substance Abuse Rehabilitation Facility in Hohenwald, TN. Organization (NPI-2).
NPI number1710074083
StatusActive
Last updated in NPPESDec 9, 2013
Details
- NPI
- 1710074083
- Entity type
- Organization (NPI-2)
- Legal business name
- Buffalo Valley, INC.
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Dec 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 0000000072 | TN | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000072 | TN | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000071 | TN | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000383 | TN | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000401 | TN | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000170 | TN | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000428 | TN | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0000000396 | TN | |
| 324500000X | Substance Abuse Rehabilitation Facility | 0000000071 | TN | |
| 324500000X | Substance Abuse Rehabilitation Facility | 0000000076 | TN | |
| 324500000X | Substance Abuse Rehabilitation Facility | 0000000401 | TN | |
| 324500000X | Substance Abuse Rehabilitation Facility | 0000000428 | TN |
Practice location
501 Park Ave SHohenwald, TN 38462-1835
Phone 931-796-4256
Mailing address
501 Park Ave SHohenwald, TN 38462-1835
Phone 931-796-4256
Authorized official
Jerry T Risner
Executive Director
9317964256
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