{"npi":"1164416533","type":"NPI-2","status":"active","name":{"display":"Western Tidewater Community Services Board","other":[],"organization_name":"WESTERN TIDEWATER COMMUNITY SERVICES BOARD","authorised_official":"Emily Hughes"},"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":"VA","license":"0904002622"}]},"addresses":[{"purpose":"LOCATION","street_1":"5268 GODWIN BLVD","city":"SUFFOLK","state":"VA","postal_code":"234348135","country_code":"US","phone":"7572557100"},{"purpose":"MAILING","street_1":"5268 GODWIN BLVD","city":"SUFFOLK","state":"VA","postal_code":"234348135","country_code":"US","phone":"7572557100"}],"license":{"state":"VA","number":"0904002622"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-08-31","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}