{"npi":"1386107746","type":"NPI-2","status":"active","name":{"display":"Southlake Community Mental Health Center","other":[],"organization_name":"SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER","authorised_official":"Judith Sikora"},"specialty":{"primary_taxonomy":"261QR0401X","primary_taxonomy_description":"Comprehensive Outpatient Rehabilitation Facility (CORF)","slug":"comprehensive-outpatient-rehabilitation-facility-corf","schema_org_specialty":null,"all":[{"code":"261QR0401X","description":"Comprehensive Outpatient Rehabilitation Facility (CORF)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8555 TAFT ST","city":"MERRILLVILLE","state":"IN","postal_code":"464106123","country_code":"US","phone":"2197694005","fax":"2197571950"},{"purpose":"MAILING","street_1":"8400 LOUISIANA ST","city":"MERRILLVILLE","state":"IN","postal_code":"464106385","country_code":"US","phone":"2197571939","fax":"2197571950"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100157670","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-11","last_updated":"2019-04-11","_meta":{"source":"NPPES","snapshot_date":"2019-04-11","doc_url":"https://findmynpi.com/api"}}