{"npi":"1063565729","type":"NPI-2","status":"active","name":{"display":"Victor Community Support Services, Inc.","other":[],"organization_name":"VICTOR COMMUNITY SUPPORT SERVICES, INC.","authorised_official":"Angie Wiechert"},"specialty":{"primary_taxonomy":"261QM0855X","primary_taxonomy_description":"Adolescent and Children Mental Health Clinic/Center","slug":"adolescent-and-children-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"103 D ST","city":"MARYSVILLE","state":"CA","postal_code":"959016017","country_code":"US","phone":"5306713427"},{"purpose":"MAILING","street_1":"1360 E LASSEN AVE","city":"CHICO","state":"CA","postal_code":"959737823","country_code":"US","phone":"5308930758","fax":"5308930502"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"01042","state":"CA","issuer":"LEGAL ENTITY #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-18","last_updated":"2013-08-29","_meta":{"source":"NPPES","snapshot_date":"2013-08-29","doc_url":"https://findmynpi.com/api"}}