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 | 251K00000X | Public Health or Welfare | | | | No |
| 2 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | Yes |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 5 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |