Organization
ENTITLED FUTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G. BOURELLY (MANAGING PARTNER)
(415) 891-1567
Entity
Organization
Contact information
Practice address
1801 ADELINE ST FL 2, OAKLAND, CA 94607-2322
(415) 891-1567
Mailing address
195 41ST ST UNIT 11498, OAKLAND, CA 94611-7019
(415) 891-1567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/28/2025
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