{"npi":"1740352467","type":"NPI-2","status":"active","name":{"display":"Story County Community Life Program","other":[],"organization_name":"STORY COUNTY COMMUNITY LIFE PROGRAM","authorised_official":"Gayla Harken"},"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":"320600000X","description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"104 S HAZEL AVE","city":"AMES","state":"IA","postal_code":"500105952","country_code":"US","phone":"5159562600","fax":"5159562609"},{"purpose":"MAILING","street_1":"104 S HAZEL AVE","city":"AMES","state":"IA","postal_code":"500105952","country_code":"US","phone":"5159562600","fax":"5159562609"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0115717","state":"IA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-15","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}