{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CAVHS",
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "110 AMBER OAKS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHERWOOD",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72120-2231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-835-1664",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2200 FORT ROOTS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH LITTLE ROCK",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72114-1709",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-257-3271",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "SABRA",
"AuthorizedOfficialMiddleName": "L",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "501-257-3271",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283X00000X",
"TaxonomyName": "Rehabilitation Hospital",
"LicenseNumber": "25203",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}