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 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 2 | 251G00000X | Hospice Care, Community Based | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | Yes |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 9 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 10 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 11 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 12 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |