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 | 261QR0800X | Clinic/Center | Recovery Care | | | No |
2 | 305S00000X | Point of Service | | | | No |
3 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
4 | 385H00000X | Respite Care | | | | No |
5 | 251S00000X | Community/Behavioral Health | | | | Yes |