{
"Npi": {
"NPI": "1992047021",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SYLOVIA HEALTH SYSTEMS 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": "9810 1/2 LIBERTY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RANDALLSTOWN",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21133-2007",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-438-9723",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9810 1/2 LIBERTY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RANDALLSTOWN",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21133-2007",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-438-9723",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/27/2013",
"LastUpdateDate": "03/27/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BROWN",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D/ LCPC",
"AuthorizedOfficialTelephoneNumber": "443-438-9723",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "LCSW-C",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}