{"npi":"1104124148","type":"NPI-2","status":"active","name":{"display":"Excelsior Youth Center","other":[],"organization_name":"EXCELSIOR YOUTH CENTER","authorised_official":"Joan Gabrielson"},"specialty":{"primary_taxonomy":"320800000X","primary_taxonomy_description":"Mental Illness Community Based Residential Treatment Facility","slug":"mental-illness-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320800000X","description":"Mental Illness Community Based Residential Treatment Facility","primary":true,"state":"CO","license":"45243"}]},"addresses":[{"purpose":"LOCATION","street_1":"15001 E OXFORD AVE","city":"AURORA","state":"CO","postal_code":"800144186","country_code":"US","phone":"3036931550","fax":"3036938309"},{"purpose":"MAILING","street_1":"15001 E OXFORD AVE","city":"AURORA","state":"CO","postal_code":"800144186","country_code":"US","phone":"3036931550","fax":"3036938309"}],"license":{"state":"CO","number":"45243"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"53239873","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-02-28","last_updated":"2011-02-28","_meta":{"source":"NPPES","snapshot_date":"2011-02-28","doc_url":"https://findmynpi.com/api"}}