NPI | 1184380867 |
---|---|
Doing Business As | FREEDOM YOUTH PROGRAM |
Entity Type | Organization |
Authorized Contact | ZARELL ZACKITOUS PATTON Chief Executive Officer 216-230-2005 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2021-11-16 |
Last Update Date | 2022-04-19 |