NPI 1013126754

Elizabeth Fulton

Organisation Substance Abuse Rehabilitation Facility Bronx, NY

Practice location

Address: 1360 Clinton Ave APT. 2-D, Bronx, NY 10456-2535
Phone: (917) 405-8608
Fax: (718) 299-5905

Authorised official

Name: Elizabeth Fulton
Title: Program Manager
Phone: (718) 299-3300

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 003121 (NY)

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1013126754
Entity type: Organization
NPI issued: 21 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.