{"npi":"1104871920","type":"NPI-2","status":"active","name":{"display":"State Of Delaware","other":[],"organization_name":"STATE OF DELAWARE","authorised_official":"Stanley Kotula"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"805 RIVER RD","city":"DOVER","state":"DE","postal_code":"199013753","country_code":"US","phone":"3027394275"},{"purpose":"MAILING","street_1":"10 SW FRONT ST","city":"MILFORD","state":"DE","postal_code":"199631948","country_code":"US","phone":"3024221422"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0000609824","state":"DE","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040319000575","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"DE","pac_id":"6507756731"}]},"enumeration_date":"2006-05-23","last_updated":"2020-02-25","_meta":{"source":"NPPES","snapshot_date":"2020-02-25","doc_url":"https://findmynpi.com/api"}}