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 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 2 | 251J00000X | Nursing Care | | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251K00000X | Public Health or Welfare | | | | No |
| 5 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 6 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | No |
| 10 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 11 | 251C00000X | Day Training, Developmentally Disabled Services | | | | Yes |