| Freedom Youth Program | |
|
1421 East 174th Street Cleveland OH 44110-2934 | |
| (216) 230-2005 | |
| Not Available |
| Full Name | Freedom Youth Program |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1421 East 174th Street, Cleveland, Ohio |
| Authorized Official Name and Position | Zarell Zackitous Patton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2162302005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Youth Program 1421 East 174th Street Cleveland OH 44110-2934 Ph: (216) 230-2005 | Freedom Youth Program 1421 East 174th Street Cleveland OH 44110-2934 Ph: (216) 230-2005 |
| NPI Number | 1184380867 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184380867 | NPI | - | NPPES |
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