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 | 251B00000X | Case Management | | MHL-040-036 | NORTH CAROLINA | No |
| 2 | 251C00000X | Day Training, Developmentally Disabled Services | | MHL-040-036 | NORTH CAROLINA | No |
| 3 | 261QA0005X | Clinic/Center | Ambulatory Family Planning Facility | MHL-040-036 | NORTH CAROLINA | No |
| 4 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | MHL-040-036 | NORTH CAROLINA | No |
| 5 | 311Z00000X | Custodial Care Facility | | MHL-040-036 | NORTH CAROLINA | No |
| 6 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | MHL-040-036 | NORTH CAROLINA | No |
| 7 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | MHL-040-036 | NORTH CAROLINA | No |
| 8 | 320700000X | Residential Treatment Facility, Physical Disabilities | | MHL-040-036 | NORTH CAROLINA | No |
| 9 | 332900000X | Non-Pharmacy Dispensing Site | | MHL-040-036 | NORTH CAROLINA | No |
| 10 | 3336L0003X | Pharmacy | Long Term Care Pharmacy | MHL-040-036 | NORTH CAROLINA | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | MHL-040-036 | NORTH CAROLINA | No |
| 12 | 347C00000X | Private Vehicle | | MHL-040-036 | NORTH CAROLINA | No |
| 13 | 385H00000X | Respite Care | | MHL-040-036 | NORTH CAROLINA | No |
| 14 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | MHL-040-036 | NORTH CAROLINA | Yes |
