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General NPI Number Information
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NPI Number | 1013845718
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Entity Type | Organization
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Legal Business Name | BE GREATER YOUTH LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 5311 NORTHFIELD RD STE 326
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-1135
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Country | US
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Telephone | 440-539-7745
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Fax | 440-703-6164
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Provider Business Mailing Address
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Address Line | 5311 NORTHFIELD RD STE 326
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-1135
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Country | US
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Telephone | 440-539-7745
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Fax | 440-703-6164
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND DOWNEY
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Credential |
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Telephone | 440-539-7745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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