Organization
FREEDOM YOUTH PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZARELL PATTON (CEO/OWNER)
(216) 712-0056
Entity
Organization
Contact information
Practice address
708 BROADWAY AVE STE B, BEDFORD, OH 44146-3642
(216) 712-0056
Mailing address
18104 WESTON RD, CLEVELAND, OH 44121-1039
(216) 712-0056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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