Provider Demographics
NPI:1760855589
Name:FORTUNATE FUTURES
Entity Type:Organization
Organization Name:FORTUNATE FUTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEMARYL
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:SR
Authorized Official - Credentials:BS AS
Authorized Official - Phone:414-393-7151
Mailing Address - Street 1:2821 N. 4TH STREET
Mailing Address - Street 2:STE 211
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2367
Mailing Address - Country:US
Mailing Address - Phone:414-393-7151
Mailing Address - Fax:
Practice Address - Street 1:2821 N. 4TH STREET
Practice Address - Street 2:STE 211
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2367
Practice Address - Country:US
Practice Address - Phone:414-393-7151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management