{"npi":"1730529462","type":"NPI-2","status":"active","name":{"display":"Commission On Aging Family Services, INC","other":[],"organization_name":"COMMISSION ON AGING FAMILY SERVICES, INC","authorised_official":"Darlene Evans"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"WV","license":"10359713"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 VIRGINIA AVE","city":"PETERSBURG","state":"WV","postal_code":"268471713","country_code":"US","phone":"3042571666","fax":"3042579145"},{"purpose":"MAILING","street_1":"111 VIRGINIA AVE","city":"PETERSBURG","state":"WV","postal_code":"268471713","country_code":"US","phone":"3042571666","fax":"3042579145"}],"license":{"state":"WV","number":"10359713"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0030591000","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"3810022661","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"3810009687","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"0030591001","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-06-26","last_updated":"2023-08-31","_meta":{"source":"NPPES","snapshot_date":"2023-08-31","doc_url":"https://findmynpi.com/api"}}