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 | 251K00000X | Public Health or Welfare | | | | No |
| 3 | 261QP0905X | Clinic/Center | Public Health, State or Local | | | No |
| 4 | 177F00000X | Lodging | | | | No |
| 5 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 6 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 7 | 251S00000X | Community/Behavioral Health | | | | No |
| 8 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 9 | 251300000X | Local Education Agency (LEA) | | | | Yes |