{"npi":"1679148175","type":"NPI-2","status":"active","name":{"display":"Mentor Idaho, LLC","other":[],"organization_name":"MENTOR IDAHO, LLC","authorised_official":"Robin Jacome"},"specialty":{"primary_taxonomy":"261QD1600X","primary_taxonomy_description":"Developmental Disabilities Clinic/Center","slug":"developmental-disabilities-clinic-center","schema_org_specialty":null,"all":[{"code":"261QD1600X","description":"Developmental Disabilities Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1001 W BROADWAY AVE APT A104","city":"MERIDIAN","state":"ID","postal_code":"836423730","country_code":"US","phone":"9512015914"},{"purpose":"MAILING","street_1":"9166 ANAHEIM PL STE 200","city":"RANCHO CUCAMONGA","state":"CA","postal_code":"917308547","country_code":"US","phone":"9512015914"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-05-26","last_updated":"2021-05-26","_meta":{"source":"NPPES","snapshot_date":"2021-05-26","doc_url":"https://findmynpi.com/api"}}