{"npi":"1902043672","type":"NPI-2","status":"active","name":{"display":"Southlake Community Mental Health Center Inc.","other":[],"organization_name":"SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.","authorised_official":"Shirley Roll"},"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":"8555 TAFT ST","city":"MERRILLVILLE","state":"IN","postal_code":"464106123","country_code":"US","phone":"2197694005"},{"purpose":"MAILING","street_1":"8400 LOUISIANA ST","city":"MERRILLVILLE","state":"IN","postal_code":"464106385","country_code":"US","phone":"2197571928"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100157670B","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-01-16","last_updated":"2022-05-24","_meta":{"source":"NPPES","snapshot_date":"2022-05-24","doc_url":"https://findmynpi.com/api"}}