{"npi":"1982175469","type":"NPI-2","status":"active","name":{"display":"Magnolia Wellness Group, PC","other":[],"organization_name":"MAGNOLIA WELLNESS GROUP, PC","authorised_official":"Jeffrey Litzinger"},"specialty":{"primary_taxonomy":"261QM0855X","primary_taxonomy_description":"Adolescent and Children Mental Health Clinic/Center","slug":"adolescent-and-children-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1904 EASTWOOD RD STE 313","city":"WILMINGTON","state":"NC","postal_code":"284035728","country_code":"US","phone":"9103757500"},{"purpose":"MAILING","street_1":"809 WILD TURKEY PL","city":"WILMINGTON","state":"NC","postal_code":"284054265","country_code":"US","phone":"9103757500"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240425003064","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"6204276140"}]},"enumeration_date":"2018-12-10","last_updated":"2019-06-11","_meta":{"source":"NPPES","snapshot_date":"2019-06-11","doc_url":"https://findmynpi.com/api"}}