{"npi":"1659567402","type":"NPI-2","status":"active","name":{"display":"River Edge Behavioral Health Center","other":[],"organization_name":"RIVER EDGE BEHAVIORAL HEALTH CENTER","authorised_official":"Emily Tyler"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"595 WIMBISH RD","city":"MACON","state":"GA","postal_code":"312104803","country_code":"US","phone":"4787514507"},{"purpose":"MAILING","street_1":"175 EMERY HWY","city":"MACON","state":"GA","postal_code":"312173692","country_code":"US","phone":"4787514507"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00604194P","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-09-14","last_updated":"2007-09-14","_meta":{"source":"NPPES","snapshot_date":"2007-09-14","doc_url":"https://findmynpi.com/api"}}