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 | 261Q00000X | Clinic/Center | | | | No |
| 2 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 3 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 4 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 5 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 6 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 7 | 251B00000X | Case Management | | | | No |
| 8 | 174200000X | Meals | | | | No |
| 9 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 10 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 11 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 12 | 175T00000X | Peer Specialist | | | | No |
| 13 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 14 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |