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 | 273R00000X | Psychiatric Unit | | | | No |
| 2 | 273Y00000X | Rehabilitation Unit | | | | No |
| 3 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 4 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 5 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 6 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 7 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 8 | 283X00000X | Rehabilitation Hospital | | | | No |
| 9 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 10 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 11 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 12 | 283Q00000X | Psychiatric Hospital | | | | Yes |
| 13 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 14 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
