{"npi":"1780875138","type":"NPI-2","status":"active","name":{"display":"Three Forks Home","other":[],"organization_name":"THREE FORKS HOME","authorised_official":"C. Mcdowell"},"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":"NC","license":"MHL 095 043"}]},"addresses":[{"purpose":"LOCATION","street_1":"392 CAMP JOY ROAD","city":"ZIONVILLE","state":"NC","postal_code":"286989759","country_code":"US","street_2":"THREE FORKS HOME","phone":"8283501254"},{"purpose":"MAILING","street_1":"PO BOX 338","city":"THOMASVILLE","state":"NC","postal_code":"273610338","country_code":"US","street_2":"BAPTIST CHILDREN'S HOMES OF NC, INC","phone":"3364741260"}],"license":{"state":"NC","number":"MHL 095 043"},"identifiers":[{"type_code":"01","label":"Other","value":"MHL 095-043","state":"NC","issuer":"STATE LICENSE NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-08-09","last_updated":"2007-08-09","_meta":{"source":"NPPES","snapshot_date":"2007-08-09","doc_url":"https://findmynpi.com/api"}}