{"npi":"1821525841","type":"NPI-2","status":"active","name":{"display":"Caregiver Grove Behavioral Health LLC","other":[],"organization_name":"CAREGIVER GROVE BEHAVIORAL HEALTH LLC","authorised_official":"Chass Rice"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3950 SUNFOREST CT STE 207","city":"TOLEDO","state":"OH","postal_code":"436234522","country_code":"US","phone":"4197206811","fax":"4197542271"},{"purpose":"MAILING","street_1":"3950 SUNFOREST CT STE 207","city":"TOLEDO","state":"OH","postal_code":"436234522","country_code":"US","phone":"4197206811"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0224458","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-05-22","last_updated":"2024-05-16","_meta":{"source":"NPPES","snapshot_date":"2024-05-16","doc_url":"https://findmynpi.com/api"}}