Freedom Youth Program

NPI #1184380867 in Cleveland, Ohio

Provider Information

NPI Number: 1184380867
Entity Type: Organization
Organization Name: Freedom Youth Program
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 16, 2021
Last Updated: Apr 19, 2022

Practice Location

Address: 1421 EAST 174TH STREET
City: Cleveland
State: Ohio
ZIP Code: 44110-2934
Phone: (216) 230-2005

Authorized Official

Name: MR. ZARELL ZACKITOUS PATTON
Title: CHIEF EXECUTIVE OFFICER
Phone: (216) 230-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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