{
  "npi": "1124206800",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "BRIAN",
    "authorized_official_last_name": "ROWLAND",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3123726707",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2020-03-25",
    "enumeration_date": "2008-02-05",
    "last_updated": "2020-03-25",
    "organization_name": "A SAFE HAVEN, L.L.C.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2750 W ROOSEVELT RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHICAGO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "773-435-8482",
      "postal_code": "60608",
      "state": "IL",
      "telephone_number": "773-435-8429"
    },
    {
      "address_1": "15507 CICERO AVE STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OAK FOREST",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "312-372-6706",
      "postal_code": "604523633",
      "state": "IL",
      "telephone_number": "312-372-6707"
    }
  ],
  "taxonomies": [
    {
      "code": "324500000X",
      "desc": "Substance Abuse Rehabilitation Facility",
      "license": "A-0274-0016-A",
      "primary": false,
      "state": "IL",
      "taxonomy_group": ""
    },
    {
      "code": "261QR0405X",
      "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
      "license": "A-0274-0016-A",
      "primary": true,
      "state": "IL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "D5",
        "medicare_type": "Opioid Treatment Program"
      }
    ]
  }
}