{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CHILDKIND, INC.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "3107 CLAIRMONT RD NE",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "ATLANTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30329-1015",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-248-1980",
"MailingAddressFaxNumber": "404-248-1981",
"FirstLinePracticeLocationAddress": "3107 CLAIRMONT RD NE",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "ATLANTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30329-1015",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-248-1980",
"PracticeLocationAddressFaxNumber": "404-248-1981",
"EnumerationDate": "05/15/2009",
"LastUpdateDate": "05/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEHMAN",
"AuthorizedOfficialFirstName": "KARL",
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"AuthorizedOfficialTitle": "CEO/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "404-248-1980",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320900000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
"LicenseNumber": "CP0000040043",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}