{"npi":"1407820343","type":"NPI-2","status":"active","name":{"display":"York Avenue Church Of God Treatment Center","other":[],"organization_name":"YORK AVENUE CHURCH OF GOD TREATMENT CENTER","authorised_official":"Johnny Graham"},"specialty":{"primary_taxonomy":"251B00000X","primary_taxonomy_description":"Case Management Agency","slug":"case-management-agency","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":true,"state":"OH","license":"6949"}]},"addresses":[{"purpose":"LOCATION","street_1":"1228 W MARKET ST","city":"WARREN","state":"OH","postal_code":"444852780","country_code":"US","phone":"3303924199","fax":"3303924904"},{"purpose":"MAILING","street_1":"1228 W MARKET ST","city":"WARREN","state":"OH","postal_code":"444852780","country_code":"US","phone":"3303924199","fax":"3303924904"}],"license":{"state":"OH","number":"6949"},"identifiers":[{"type_code":"01","label":"Other","value":"06949","state":"OH","issuer":"UCI NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-02-16","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}