{"npi":"1457539751","type":"NPI-2","status":"active","name":{"display":"Four County Comprehensive Mental Health Center, INC","other":[],"organization_name":"FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC","authorised_official":"Carrie Cadwell"},"specialty":{"primary_taxonomy":"283Q00000X","primary_taxonomy_description":"Psychiatric Hospital","slug":"psychiatric-hospital","schema_org_specialty":null,"all":[{"code":"283Q00000X","description":"Psychiatric Hospital","primary":true,"state":"IN","license":"427-1-PIP"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 N BROADWAY","city":"PERU","state":"IN","postal_code":"469701070","country_code":"US","phone":"5747225151","fax":"5747391414"},{"purpose":"MAILING","street_1":"2355 S BUSINESS 31","city":"PERU","state":"IN","postal_code":"469708985","country_code":"US","phone":"5747225151","fax":"5747391414"}],"license":{"state":"IN","number":"427-1-PIP"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100273560","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-02-08","last_updated":"2024-09-19","_meta":{"source":"NPPES","snapshot_date":"2024-09-19","doc_url":"https://findmynpi.com/api"}}