{
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"FirstLineMailingAddress": "17868 ARGONNE ESTATES DR",
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"MailingAddressCityName": "FLORISSANT",
"MailingAddressStateName": "MO",
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"FirstLinePracticeLocationAddress": "1004 PENNSYLVANIA AVE",
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"PracticeLocationAddressCityName": "SAINT LOUIS",
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"EnumerationDate": "01/13/2012",
"LastUpdateDate": "01/13/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STRONG",
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"AuthorizedOfficialTelephoneNumber": "314-838-0744",
"Taxonomies": {
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"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}