{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HOYLETON YOUTH AND FAMILY SERVICES",
"LastName": null,
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"FirstLineMailingAddress": "8 EXECUTIVE DR",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "FAIRVIEW HEIGHTS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62208-1345",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "618-688-4727",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6015 AND 6017 WEST A STREET",
"SecondLinePracticeLocationAddress": "UNIT 6015 AND 6017",
"PracticeLocationAddressCityName": "BELLEVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "618-688-4727",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/14/2017",
"LastUpdateDate": "08/09/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COX",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
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"AuthorizedOfficialTitle": "CEO/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "618-688-4735",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320600000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
"LicenseNumber": "033699",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}