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 | 282N00000X | General Acute Care Hospital | | | | No |
| 2 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 3 | 3104A0630X | Assisted Living Facility | Assisted Living, Behavioral Disturbances | | | No |
| 4 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 5 | 283Q00000X | Psychiatric Hospital | | | | No |
| 6 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 9 | 282NW0100X | General Acute Care Hospital | Women | | | No |
| 10 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 11 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 12 | 282NC2000X | General Acute Care Hospital | Children | | | No |
| 13 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 14 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |