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 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 2 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 5 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 6 | 3416L0300X | Ambulance | Land Transport | | | No |
| 7 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | Yes |