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 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 2 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 3 | 311500000X | Alzheimer Center (Dementia Center) | | | | No |
| 4 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 5 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 6 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 7 | 324500000X | Substance Abuse Rehabilitation Facility | | | | Yes |