{
  "npi": "1689800013",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RN, MS",
    "authorized_official_first_name": "HOLLY",
    "authorized_official_last_name": "ELLIOTT",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5205624205",
    "authorized_official_title_or_position": "Chief Executive Officer",
    "enumeration_date": "2009-05-29",
    "last_updated": "2012-10-31",
    "organization_name": "DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "104 BIG BEND RANCH ROAD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WADSWORTH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "775-575-3180",
      "postal_code": "89442",
      "state": "NV",
      "telephone_number": "775-352-6840"
    },
    {
      "address_1": "PO BOX 280",
      "address_2": "104 BIG BEND RANCH ROAD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WADSWORTH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "775-575-3180",
      "postal_code": "89442",
      "state": "NV",
      "telephone_number": "775-352-6840"
    }
  ],
  "taxonomies": [
    {
      "code": "324500000X",
      "desc": "Substance Abuse Rehabilitation Facility",
      "license": "n/a",
      "primary": false,
      "state": "NV",
      "taxonomy_group": ""
    },
    {
      "code": "3245S0500X",
      "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
      "license": "n/a",
      "primary": false,
      "state": "NV",
      "taxonomy_group": ""
    },
    {
      "code": "3245S0500X",
      "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
      "license": "275789",
      "primary": true,
      "state": null,
      "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 & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}