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 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 2 | 261QM1000X | Clinic/Center | Migrant Health | | | No |
| 3 | 261QM2800X | Clinic/Center | Methadone | | | No |
| 4 | 261QP2400X | Clinic/Center | Prison Health | | | No |
| 5 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 6 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 251B00000X | Case Management | | | | No |
| 9 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 10 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 11 | 261Q00000X | Clinic/Center | | | | No |
| 12 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 13 | 261QC1800X | Clinic/Center | Corporate Health | | | No |
| 14 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |