{
"Npi": {
"NPI": "1437310695",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE CANYON AT PEACE PARK, LLC",
"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": "210 WESTWOOD PLACE,",
"SecondLineMailingAddress": "SUITE 120",
"MailingAddressCityName": "BRENTWOOD",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37027-7554",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-342-3200",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2900 S. KANAN DUME ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MALIBU",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90265-2792",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-457-3209",
"PracticeLocationAddressFaxNumber": "310-457-4440",
"EnumerationDate": "06/20/2008",
"LastUpdateDate": "08/06/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BIGSBY",
"AuthorizedOfficialFirstName": "KATHLEEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHD, MSW",
"AuthorizedOfficialTelephoneNumber": "310-457-3209",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "324500000X",
"TaxonomyName": "Substance Abuse Rehabilitation Facility",
"LicenseNumber": "190441BP",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}