{"npi":"1699000703","type":"NPI-2","status":"active","name":{"display":"Department Of Behavioral Health And Developmental Disabilities","other":[],"organization_name":"DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES","authorised_official":"Paul Brock"},"specialty":{"primary_taxonomy":"315P00000X","primary_taxonomy_description":"Intellectual Disabilities Intermediate Care Facility","slug":"intellectual-disabilities-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":true,"state":"GA","license":"2-121-792"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 MYRTLE BLVD","city":"GRACEWOOD","state":"GA","postal_code":"308121500","country_code":"US","phone":"7067902030","fax":"7067902025"},{"purpose":"MAILING","street_1":"100 MYRTLE BLVD","city":"GRACEWOOD","state":"GA","postal_code":"308121500","country_code":"US","phone":"7067902030","fax":"7067902025"}],"license":{"state":"GA","number":"2-121-792"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000141204A","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-10-07","last_updated":"2015-05-20","_meta":{"source":"NPPES","snapshot_date":"2015-05-20","doc_url":"https://findmynpi.com/api"}}