{
"Npi": {
"NPI": "1760147649",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHANGES AND EMPOWERMENT PROGRAMS",
"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": "23830 PACIFIC HWY S SUITE 202",
"SecondLineMailingAddress": "23830 PACIFIC HWY S SUITE 202",
"MailingAddressCityName": "KENT",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98032",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-501-5295",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23830 PACIFIC HWY S STE 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KENT",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98032-7706",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-501-5295",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/04/2021",
"LastUpdateDate": "11/04/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARTER",
"AuthorizedOfficialFirstName": "NATURE",
"AuthorizedOfficialMiddleName": "PEARL",
"AuthorizedOfficialTitle": "CO/FOUNDER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "206-853-0216",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "276400000X",
"TaxonomyName": "Substance Use Disorder Rehabilitation Hospital Unit",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}