{"npi":"1366719171","type":"NPI-2","status":"active","name":{"display":"Park Center, Inc.","other":[],"organization_name":"PARK CENTER, INC.","authorised_official":"Stanton Risser"},"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":"809 HIGH ST","city":"DECATUR","state":"IN","postal_code":"467332324","country_code":"US","phone":"2607249669","fax":"2607244872"},{"purpose":"MAILING","street_1":"909 E STATE BLVD","city":"FORT WAYNE","state":"IN","postal_code":"468053404","country_code":"US","phone":"2604812700","fax":"2604812709"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"201033910A","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-11-22","last_updated":"2024-10-31","_meta":{"source":"NPPES","snapshot_date":"2024-10-31","doc_url":"https://findmynpi.com/api"}}