{"npi":"1164055026","type":"NPI-2","status":"active","name":{"display":"Moonlight Support Services LLC","other":[],"organization_name":"MOONLIGHT SUPPORT SERVICES LLC","authorised_official":"Abdirazaq Ibrahim"},"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":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3110 OLD HWY 8","city":"ROSEVILLE","state":"MN","postal_code":"551135511","country_code":"US","street_2":"206","phone":"6023234873"},{"purpose":"MAILING","street_1":"5913 PLEASANT AVE STE 104","city":"MINNEAPOLIS","state":"MN","postal_code":"554192357","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-02-19","last_updated":"2020-02-19","_meta":{"source":"NPPES","snapshot_date":"2020-02-19","doc_url":"https://findmynpi.com/api"}}