Freedom Youth Program

LBN: Freedom Youth Program
Freedom Youth Program is an health care organization with primary practice located at 1421 East 174Th Street , Cleveland OH 44110-2934. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Freedom Youth Program can be contacted via phone (216) 230-2005, or through Patton, Zarell Zackitous via phone (216) 230-2005.

Contact Information

Primary practice address
1421 East 174Th Street Cleveland OH 44110-2934
Phone: (216) 230-2005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patton, Zarell Zackitous
Phone: (216) 230-2005

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1184380867
LBN Legal business name Freedom Youth Program
DBA Doing business as Freedom Youth Program
Authorized official Patton, Zarell Zackitous
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2021
Last updated Apr 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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