ALFRED LEVI GREENLEAF

BRISTOL, CT
NPI1710505284
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-07-10
Last Update Date2020-07-10
Business Address
Mr. ALFRED LEVI GREENLEAF
51 MAHEU ST
BRISTOL, CT 06010-3051
Phone number: 860-620-2674
Mailing Address
Mr. ALFRED LEVI GREENLEAF
PO BOX 3032
BRISTOL, CT 06011-3032
Phone number: 860-620-2674