Organization
STEVENSON, LLC
Active
Other names
Stevenson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WARREN STEVENSON II (CHIEF EXECUTIVE OFFICER)
(304) 859-4417
Entity
Organization
Contact information
Practice address
1 CANTLEY DR, SUITE 2, CHARLESTON, WV 25314-1089
(304) 859-4417
(304) 859-4417
Mailing address
1 CANTLEY DR, SUITE 2, CHARLESTON, WV 25314-1089
(304) 859-4417
(304) 859-4417
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
417
WV
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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