{
"Npi": {
"NPI": "1467739003",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALCOHOL DRUG CARE SERVICES,INC.",
"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": "528 5TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EUREKA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95501-1033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "707-445-1391",
"MailingAddressFaxNumber": "707-445-2599",
"FirstLinePracticeLocationAddress": "528 5TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EUREKA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95501-1033",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "707-445-1391",
"PracticeLocationAddressFaxNumber": "707-445-2599",
"EnumerationDate": "11/10/2011",
"LastUpdateDate": "11/10/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CUNNINGHAM",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "JACK",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CAS",
"AuthorizedOfficialTelephoneNumber": "707-445-1391",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "324500000X",
"TaxonomyName": "Substance Abuse Rehabilitation Facility",
"LicenseNumber": "120009CN",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "324500000X",
"TaxonomyName": "Substance Abuse Rehabilitation Facility",
"LicenseNumber": "120009AN",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}