Organization · Type 2 NPI

Elizabeth Fulton

Substance Abuse Rehabilitation Facility · Bronx, NY

NPI number 1013126754 Active

Practice location

1360 Clinton Ave, Apt. 2-D
Bronx, NY 10456-2535

Call (917) 405-8608 Map

Fax (718) 299-5905

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X003121 (NY)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1013126754

Elizabeth Fulton's National Provider Identifier is 1013126754, issued on May 21, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Bronx, NY. The record was last updated on Aug 22, 2020.