Provider Demographics
NPI:1396754552
Name:OUR CHILDREN OUR FUTURE, INC.
Entity type:Organization
Organization Name:OUR CHILDREN OUR FUTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:954-929-7515
Mailing Address - Street 1:450 N PARK RD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6917
Mailing Address - Country:US
Mailing Address - Phone:954-929-7515
Mailing Address - Fax:954-929-7510
Practice Address - Street 1:450 N PARK RD
Practice Address - Street 2:SUITE 600
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6917
Practice Address - Country:US
Practice Address - Phone:954-929-7515
Practice Address - Fax:954-929-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL360321100Medicaid