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 | | PENNSYLVANIA | No |
| 2 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | PENNSYLVANIA | No |
| 3 | 103K00000X | Behavior Analyst | | | PENNSYLVANIA | No |
| 4 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | PENNSYLVANIA | No |
| 5 | 261QC1500X | Clinic/Center | Community Health | | PENNSYLVANIA | No |
| 6 | 261QP2300X | Clinic/Center | Primary Care | | PENNSYLVANIA | No |
| 7 | 251S00000X | Community/Behavioral Health | | | PENNSYLVANIA | Yes |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | PENNSYLVANIA | No |
| 9 | 251B00000X | Case Management | | | PENNSYLVANIA | No |
| 10 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | PENNSYLVANIA | No |