{"npi":"1629168166","type":"NPI-2","status":"active","name":{"display":"Adolescent Day Treatment Center INC Of Douglas County","other":[],"organization_name":"ADOLESCENT DAY TREATMENT CENTER INC OF DOUGLAS COUNTY","authorised_official":"Bonna Meyer"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":"OR","license":"CERTIFICATE APPROVAL"},{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":"OR","license":"CERTIFCATE OF APPROV"}]},"addresses":[{"purpose":"LOCATION","street_1":"671 S.W. MAIN","city":"WINSTON","state":"OR","postal_code":"97496","country_code":"US","phone":"5416796129"},{"purpose":"MAILING","street_1":"PO BOX 2259","city":"WINSTON","state":"OR","postal_code":"974962259","country_code":"US","phone":"5416796129","fax":"5416795285"}],"license":{"state":"OR","number":"CERTIFCATE OF APPROV"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"297927","state":"OR","issuer":null},{"type_code":"05","label":"Medicaid","value":"297928","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-13","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}