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