Futures Outpatient Group, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FUTURES OUTPATIENT GROUP, LLC

Practice address

4700 N Congress Ave
Suite 104
West Palm Beach, FL 33407-3282

Phone

(561) 935-5795

NPI assigned

Jan 14, 2016

Last updated

Jan 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie Jackson

Title

Ceo

Phone

(561) 935-5513

Specialties & licenses 1

Addresses

Tax ID family

Futures Outpatient Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Futures Outpatient Group LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
  • NPI 1245689462
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1144686536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OLD DIXIE HWY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE",
            "address_2": "SUITE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073282",
            "telephone_number": "561-935-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURES OUTPATIENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-935-5513"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria D Funez, CNA
• Michael L Funk, PA-C
• Dionys Y Fuster, ARNP
• Future Stars Behavioral Health Center LLC
• Futures Outpatient Group LLC
• FWC Perinatal, LLC
• FWC Perinatal, LLC
• FWC Urogynecology, LLC
• FWC Urogynecology, LLC
• G & C Care Institute LLC

• Substance Use Disorder Rehabilitation Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.