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 | 101YP1600X | Counselor | Pastoral | | | No |
| 2 | 251K00000X | Public Health or Welfare | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 305R00000X | Preferred Provider Organization | | | | No |
| 5 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 385H00000X | Respite Care | | | | No |
| 7 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | APPLIED FOR | NORTH CAROLINA | Yes |