{
"Npi": {
"NPI": "1245690700",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOPE NETWORK",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "175 N GROESBECK HWY",
"SecondLineMailingAddress": "UNIT 175-F",
"MailingAddressCityName": "MOUNT CLEMENS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48043-1562",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-627-0024",
"MailingAddressFaxNumber": "586-627-0027",
"FirstLinePracticeLocationAddress": "175 NORTH GROESBECK",
"SecondLinePracticeLocationAddress": "UNIT 175F",
"PracticeLocationAddressCityName": "MOUNT CLEMENS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48043",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-627-0024",
"PracticeLocationAddressFaxNumber": "586-627-0027",
"EnumerationDate": "02/26/2016",
"LastUpdateDate": "02/26/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANDS",
"AuthorizedOfficialFirstName": "RONEL",
"AuthorizedOfficialMiddleName": "K.",
"AuthorizedOfficialTitle": "REVENUE MGMT.",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "810-213-1803",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "6801082542",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}