{"npi":"1508984972","type":"NPI-2","status":"active","name":{"display":"Evergreen Presbyterian Ministries Of East Tn","other":[],"organization_name":"EVERGREEN PRESBYTERIAN MINISTRIES OF EAST TN","authorised_official":"John Taylor"},"specialty":{"primary_taxonomy":"320900000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1304 WILSON RD","city":"KNOXVILLE","state":"TN","postal_code":"379125693","country_code":"US","street_2":"SUITE 105","phone":"8656894022","fax":"8656894054"},{"purpose":"MAILING","street_1":"2101 HIGHWAY 80","city":"HAUGHTON","state":"LA","postal_code":"710379488","country_code":"US","phone":"3187428440","fax":"3187525448"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00678","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-26","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}