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 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 2 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 3 | 251K00000X | Public Health or Welfare | | | | No |
| 4 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 5 | 253Z00000X | In Home Supportive Care | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 9 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 10 | 251B00000X | Case Management | | | | Yes |