{"npi":"1386160448","type":"NPI-2","status":"active","name":{"display":"Lost Souls Recovery, LLC","other":[],"organization_name":"LOST SOULS RECOVERY, LLC","authorised_official":"Alexander Ott"},"specialty":{"primary_taxonomy":"261QR0405X","primary_taxonomy_description":"Substance Use Disorder Rehabilitation Clinic/Center","slug":"substance-use-disorder-rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR0405X","description":"Substance Use Disorder Rehabilitation Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"130 WHITE HORSE PIKE","city":"CLEMENTON","state":"NJ","postal_code":"080214159","country_code":"US","phone":"8563442003"},{"purpose":"MAILING","street_1":"130 WHITE HORSE PIKE","city":"CLEMENTON","state":"NJ","postal_code":"080214159","country_code":"US","phone":"8563442003"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210616000045","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"2860892627"}]},"enumeration_date":"2017-08-20","last_updated":"2019-05-07","_meta":{"source":"NPPES","snapshot_date":"2019-05-07","doc_url":"https://findmynpi.com/api"}}