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General NPI Number Information
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NPI Number | 1952191298
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Entity Type | Organization
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Legal Business Name | CRADLE FOR YOUTH INC.
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2258 CHARLESTOWN AVE
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City | TOLEDO
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State | OH
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Zip | 43613-4407
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Country | US
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Telephone | 419-304-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 2258 CHARLESTOWN AVE
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City | TOLEDO
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State | OH
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Zip | 43613-4407
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Country | US
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Telephone | 419-304-3937
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIE L POWELL
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Credential | M.ED, BCBA
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Telephone | 419-304-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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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