institution
Elizabeth Fulton
Substance Abuse Rehabilitation Facility in Bronx, New York
NPI 1013126754

Elizabeth Fulton is a Substance Abuse Rehabilitation Facility based in Bronx, NY. Elizabeth Fulton practices in Bronx, NY. The NPI Number for Elizabeth Fulton is 1013126754 and holds a License No. 003121 (New York).

The current practice location address for Elizabeth Fulton is 1360 Clinton Ave, Bronx, NY and can be reached out via phone at 917-405-8608 and via fax at 718-299-5905.

Location: 1360 Clinton Ave, Bronx, NY, 10456-2535
institution
Provider Profile Details
NPI Number
1013126754
Provider Name
Elizabeth Fulton
Credential
Provider Entity Type
Organization
Address
1360 Clinton Ave, Bronx, NY, 10456-2535
Phone Number
917-405-8608
Fax Number
718-299-5905
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1360 Clinton Ave
City
State
Zip
10456-2535
Phone Number
917-405-8608
Fax Number
718-299-5905
person
Provider Business Mailing Address Details
Address
1360 Clinton Ave
City
State
Zip
10456-2535
Phone Number
917-405-8608
Fax Number
718-299-5905
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
003121 (New York)
Definition
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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