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Organization
SELF DETERMINED FUTURES LLC
Active
Organization
SELF DETERMINED FUTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY MONTGOMERY MBA (CEO)
(562) 335-7867
Entity
Organization
Contact information
Practice address
18726 S WESTERN AVE STE 415, GARDENA, CA 90248-3858
(562) 335-7867
Mailing address
18726 S WESTERN AVE STE 415, GARDENA, CA 90248-3858
(562) 335-7867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2400X
Prison Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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