{"npi":"1669934030","type":"NPI-2","status":"active","name":{"display":"One Wellness Boutique, Inc.","other":[],"organization_name":"ONE WELLNESS BOUTIQUE, INC.","authorised_official":"Que'ana Morris Jackson"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"251C00000X","description":"Developmentally Disabled Services Day Training Agency","primary":false,"state":null,"license":null},{"code":"252Y00000X","description":"Early Intervention Provider Agency","primary":false,"state":null,"license":null},{"code":"261QD1600X","description":"Developmental Disabilities Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"931 MONROE DR NE STE A102-450","city":"ATLANTA","state":"GA","postal_code":"303081793","country_code":"US","phone":"4047894079","fax":"8778333855"},{"purpose":"MAILING","street_1":"931 MONROE DR NE STE A102-450","city":"ATLANTA","state":"GA","postal_code":"303081793","country_code":"US","phone":"4047894079","fax":"8778333855"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1972856805","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-03","last_updated":"2019-04-03","_meta":{"source":"NPPES","snapshot_date":"2019-04-03","doc_url":"https://findmynpi.com/api"}}