{
"Npi": {
"NPI": "1194038802",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "RICHARD J. CARON FOUNDATION",
"ParentOrgTIN": null,
"OrgName": "CARON FOUNDATION OF TEXAS, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 150",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WERNERSVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19565-0150",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-648-2332",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3800 COUNTY ROAD",
"SecondLinePracticeLocationAddress": "444",
"PracticeLocationAddressCityName": "PRINCETON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75407-4432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-678-2332",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2010",
"LastUpdateDate": "02/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAAK",
"AuthorizedOfficialFirstName": "BECCI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP OF FINANCE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-743-6451",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "324500000X",
"TaxonomyName": "Substance Abuse Rehabilitation Facility",
"LicenseNumber": "33153316",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}