| NPI | 1033385158 |
|---|---|
| Doing Business As | THE STEVENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SMITH Office Manager 706-226-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: GA 040248) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 001895) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |