MICHAEL W POLOWCHENA

CANTON, NY
NPI1588783914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  558)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
Mr. MICHAEL W POLOWCHENA CASAC
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
Mailing Address
Mr. MICHAEL W POLOWCHENA CASAC
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189