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 | | | | No |
| 2 | 251G00000X | Hospice Care, Community Based | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | Yes |
| 4 | 253J00000X | Foster Care Agency | | | | No |
| 5 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 6 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |