{"npi":"1720159064","type":"NPI-2","status":"active","name":{"display":"Viaquest Behavioral Health, LLC","other":[],"organization_name":"VIAQUEST BEHAVIORAL HEALTH, LLC","authorised_official":"Rich Johnson"},"specialty":{"primary_taxonomy":"323P00000X","primary_taxonomy_description":"Psychiatric Residential Treatment Facility","slug":"psychiatric-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"323P00000X","description":"Psychiatric Residential Treatment Facility","primary":true,"state":"PA","license":"306820"}]},"addresses":[{"purpose":"LOCATION","street_1":"1170 S STATE ST","city":"EPHRATA","state":"PA","postal_code":"175222601","country_code":"US","street_2":"BOX 729","phone":"8004417345"},{"purpose":"MAILING","street_1":"525 METRO PL N","city":"DUBLIN","state":"OH","postal_code":"430175342","country_code":"US","street_2":"SUITE 450","phone":"8006453267"}],"license":{"state":"PA","number":"306820"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8378401","state":"NJ","issuer":null},{"type_code":"05","label":"Medicaid","value":"0017857260001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"5301785726","state":"PA","issuer":"CBHNP PROVIDER #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-10","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}