LEON MCKIVER

MIDDLETOWN, NY
NPI1083845168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  8580)
Enumeration Date2009-08-06
Last Update Date2009-08-06
Business Address
LEON MCKIVER CASAC
21 CENTER ST
MIDDLETOWN, NY 10940-5704
Phone number: 845-343-7675
Mailing Address
LEON MCKIVER CASAC
21 CENTER ST
MIDDLETOWN, NY 10940-5704
Phone number: 845-343-7675