LUTHER CARLETON ELLIOTT

BRONX, NY
NPI1972178432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-05-26
Last Update Date2021-05-26
Business Address
LUTHER CARLETON ELLIOTT
5676 RIVERDALE AVE
BRONX, NY 10471-2138
Phone number: 718-796-5300
Mailing Address
LUTHER CARLETON ELLIOTT
5737 FARADAY AVE APT 2
BRONX, NY 10471-2201
Phone number: 347-326-6757