{"npi":"1972199032","type":"NPI-2","status":"active","name":{"display":"Community Council For Mental Health And Mental Retardation I","other":[],"organization_name":"COMMUNITY COUNCIL FOR MENTAL HEALTH AND MENTAL RETARDATION I","authorised_official":"Rekiya Bell"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4900 WYALUSING AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191315127","country_code":"US","phone":"2159213713","fax":"2158275276"},{"purpose":"MAILING","street_1":"4900 WYALUSING AVE","city":"PHILADELPHIA","state":"PA","postal_code":"191315127","country_code":"US","phone":"2154737033","fax":"2158275276"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"146020","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-12-14","last_updated":"2020-12-14","_meta":{"source":"NPPES","snapshot_date":"2020-12-14","doc_url":"https://findmynpi.com/api"}}