{"npi":"1679860381","type":"NPI-2","status":"active","name":{"display":"Carroll County Youth Service Bureau, Inc.","other":[],"organization_name":"CARROLL COUNTY YOUTH SERVICE BUREAU, INC.","authorised_official":"Lynn Davis"},"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":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":"MD","license":"904243"}]},"addresses":[{"purpose":"LOCATION","street_1":"59 KATE WAGNER RD","city":"WESTMINSTER","state":"MD","postal_code":"211576957","country_code":"US","phone":"4108482500","fax":"4108763016"},{"purpose":"MAILING","street_1":"59 KATE WAGNER RD","city":"WESTMINSTER","state":"MD","postal_code":"211576957","country_code":"US","phone":"4108482500","fax":"4108763016"}],"license":{"state":"MD","number":"904243"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"420658400","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-07-01","last_updated":"2023-02-15","_meta":{"source":"NPPES","snapshot_date":"2023-02-15","doc_url":"https://findmynpi.com/api"}}