{"npi":"1699891978","type":"NPI-2","status":"active","name":{"display":"Preble County Board Of Mrdd","other":[],"organization_name":"PREBLE COUNTY BOARD OF MRDD","authorised_official":"Brian Green"},"specialty":{"primary_taxonomy":"251C00000X","primary_taxonomy_description":"Developmentally Disabled Services Day Training Agency","slug":"developmentally-disabled-services-day-training-agency","schema_org_specialty":null,"all":[{"code":"251C00000X","description":"Developmentally Disabled Services Day Training Agency","primary":true,"state":"OH","license":"0773104"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 EATON LEWISBURG RD STE 201","city":"EATON","state":"OH","postal_code":"453201192","country_code":"US","phone":"9374046213","fax":"9373321492"},{"purpose":"MAILING","street_1":"200 EATON LEWISBURG RD STE 201","city":"EATON","state":"OH","postal_code":"453201192","country_code":"US","phone":"9374046213","fax":"9373321492"}],"license":{"state":"OH","number":"0773104"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0773104","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-21","last_updated":"2024-05-09","_meta":{"source":"NPPES","snapshot_date":"2024-05-09","doc_url":"https://findmynpi.com/api"}}