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FREEDOM YOUTH PROGRAM NPI 1184380867


NPI Information

NPI: 1184380867
Provider Name: FREEDOM YOUTH PROGRAM

Doing Business As: FREEDOM YOUTH PROGRAM

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1421 E 174TH ST
CLEVELAND, OH
ZIP 44110
Phone: (216) 230-2005
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FREEDOM YOUTH PROGRAM is a residential treatment facility emotionally disturbed children in Cleveland, OH. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FREEDOM YOUTH PROGRAM NPI is 1184380867. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Youth Program.

The provider's business location address is:

1421 E 174TH ST
CLEVELAND, OH
ZIP 44110-934
Phone: (216) 230-2005

The provider's authorized official is Freedom Youth Program .
The authorized official title is Ceo and has the following contact phone number (216) 230-2005.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 1/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.