Organization
FREEDOM YOUTH PROGRAM
Active
Organization
FREEDOM YOUTH PROGRAM
Active
Other names
Freedom Youth Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZARELL ZACKITOUS PATTON (CHIEF EXECUTIVE OFFICER)
(216) 712-0056
Entity
Organization
Contact information
Practice address
18104 WESTON RD, CLEVELAND, OH 44121-1039
(216) 712-0056
Mailing address
18104 WESTON RD, CLEVELAND, OH 44121-1039
(216) 712-0056
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
11/16/2021
Last updated
05/22/2026
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