Organization · Type 2 NPI
K12 Clinics
Adolescent and Children Mental Health Clinic/Center · Hinesville, GA
Practice location
938 Elma G. Miles Parkway
Hinesville, GA 31313
Fax (912) 877-5437
Mailing address
938 E.g. Miles Parkway
Hinesville, GA 31313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 047893 (GA) |
| Adult Mental Health Clinic/Center | 261QM0850X | 047893 (GA) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 047893 (GA) |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
About NPI 1992910749
K12 Clinics's National Provider Identifier is 1992910749, issued on May 14, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Hinesville, GA. The record was last updated on Jul 9, 2009.