{
"Npi": {
"NPI": "1346455193",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SAD 29",
"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": "PO BOX 190",
"SecondLineMailingAddress": "7 BIRD STREET",
"MailingAddressCityName": "HOULTON",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04730-0190",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-532-6555",
"MailingAddressFaxNumber": "207-532-6481",
"FirstLinePracticeLocationAddress": "7 BIRD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOULTON",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04730-2402",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-532-6555",
"PracticeLocationAddressFaxNumber": "207-532-6481",
"EnumerationDate": "05/14/2007",
"LastUpdateDate": "10/23/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOREY",
"AuthorizedOfficialFirstName": "GERALD",
"AuthorizedOfficialMiddleName": "JERRY",
"AuthorizedOfficialTitle": "SPED ADMIN. ASSISTANT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "207-538-3884",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251C00000X",
"TaxonomyName": "Developmentally Disabled Services Day Training Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}