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 | 253Z00000X | In Home Supportive Care | | | | No |
| 2 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 3 | 251J00000X | Nursing Care | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 261QP2300X | Clinic/Center | Primary Care | | | No |
| 9 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 10 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 11 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 12 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 13 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 14 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |