{"npi":"1689749889","type":"NPI-2","status":"active","name":{"display":"Gha Autism Supports","other":[],"organization_name":"GHA AUTISM SUPPORTS","authorised_official":"Dawn Allen"},"specialty":{"primary_taxonomy":"320600000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":false,"state":"NC","license":"MHL084017"},{"code":"323P00000X","description":"Psychiatric Residential Treatment Facility","primary":false,"state":"NC","license":"MHL084017"},{"code":"320600000X","description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","primary":true,"state":"NC","license":"MHL084017"}]},"addresses":[{"purpose":"LOCATION","street_1":"1213 MOSS SPRINGS ROAD","city":"ALBEMARLE","state":"NC","postal_code":"280017810","country_code":"US","phone":"7049829600","fax":"7049828155"},{"purpose":"MAILING","street_1":"PO BOX 2487","city":"ALBEMARLE","state":"NC","postal_code":"280022487","country_code":"US","phone":"7049829600","fax":"7049828155"}],"license":{"state":"NC","number":"MHL084017"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3406165","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-22","last_updated":"2015-07-15","_meta":{"source":"NPPES","snapshot_date":"2015-07-15","doc_url":"https://findmynpi.com/api"}}