{
"Npi": {
"NPI": "1679730592",
"EntityType": "Organization",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MENTAL HEALTH ASSOCIATION",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "15 S COLLEGE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15301-4821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-225-2061",
"MailingAddressFaxNumber": "724-225-4770",
"FirstLinePracticeLocationAddress": "225 SPRING ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BENTLEYVILLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15314-1252",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-239-3993",
"PracticeLocationAddressFaxNumber": "724-239-3997",
"EnumerationDate": "05/19/2008",
"LastUpdateDate": "05/19/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIMMS",
"AuthorizedOfficialFirstName": "ALICE",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "FISCAL TECHNICIAN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "724-225-2061",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320800000X",
"TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
"LicenseNumber": "424660",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}