{
"Npi": {
"NPI": "1699857425",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTER HAVEN 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": "PO BOX 267",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMILTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45012-0267",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-868-9600",
"MailingAddressFaxNumber": "513-868-1174",
"FirstLinePracticeLocationAddress": "422 N 2ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAMILTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45011-1602",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-868-9600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/20/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GENTRY",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NHA",
"AuthorizedOfficialTelephoneNumber": "513-868-9600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "6323",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}