Provider Demographics
NPI:1720405806
Name:FUTURES REDEFINED INC.
Entity Type:Organization
Organization Name:FUTURES REDEFINED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:ZACHARIAH
Authorized Official - Last Name:GAEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-254-1293
Mailing Address - Street 1:5041 BONWELL DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3037
Mailing Address - Country:US
Mailing Address - Phone:855-254-1293
Mailing Address - Fax:
Practice Address - Street 1:5041 BONWELL DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3037
Practice Address - Country:US
Practice Address - Phone:855-254-1293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management