Organization
FUTURES OUTPATIENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (BILLING MANAGER)
(954) 272-6723
Entity
Organization
Contact information
Practice address
4700 NORTH CONGRESS AVENUE, SUITE 104, WEST PALM BEACH, FL 33407
(561) 935-5795
Mailing address
PO BOX 743767, ATLANTA, GA 30374-3767
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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