Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 2 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 3 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 8 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 9 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 10 | 251B00000X | Case Management | | | | Yes |