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 | 251V00000X | Voluntary or Charitable | | | | No |
| 3 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 4 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 5 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 6 | 282J00000X | Religious Nonmedical Health Care Institution | | | | No |
| 7 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | Yes |