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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 2 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 3 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 4 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 5 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 6 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 7 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 8 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 9 | 251B00000X | Case Management | | | | No |
| 10 | 253Z00000X | In Home Supportive Care | | | | No |
| 11 | 385H00000X | Respite Care | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | No |
| 13 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 14 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |
