{"npi":"1154592525","type":"NPI-2","status":"active","name":{"display":"Phoenix Rising Behavioral Healthcare And Recovery, INC","other":[],"organization_name":"PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY, INC","authorised_official":"Lisa Grubbs"},"specialty":{"primary_taxonomy":"332900000X","primary_taxonomy_description":"Non-Pharmacy Dispensing Site","slug":"non-pharmacy-dispensing-site","schema_org_specialty":null,"all":[{"code":"332900000X","description":"Non-Pharmacy Dispensing Site","primary":true,"state":"OH","license":"573"}]},"addresses":[{"purpose":"LOCATION","street_1":"1930 FREMONT PL SW","city":"CANTON","state":"OH","postal_code":"447061551","country_code":"US","phone":"3304555950"},{"purpose":"MAILING","street_1":"1930 FREMONT PL SW","city":"CANTON","state":"OH","postal_code":"447061551","country_code":"US","phone":"3304555950"}],"license":{"state":"OH","number":"573"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2625985","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-03-13","last_updated":"2008-03-13","_meta":{"source":"NPPES","snapshot_date":"2008-03-13","doc_url":"https://findmynpi.com/api"}}