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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
2 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
3 | 251B00000X | Case Management | | | | No |
4 | 251S00000X | Community/Behavioral Health | | | | No |
5 | 261QC1500X | Clinic/Center | Community Health | | | No |
6 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
7 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | Yes |
8 | 177F00000X | Lodging | | | | No |
9 | 174200000X | Meals | | | | No |