# K12 CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PSYCHIATRY NETWORK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992910749
- **Authorized official:** DR. ADEREMI S. DOSUNMU M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (912) 877-7924

## Contact information

- **Practice address:** 938 ELMA G. MILES PARKWAY, HINESVILLE, GA 31313
- **Practice address phone:** (912) 877-7924
- **Practice address fax:** (912) 877-5437
- **Mailing address:** 938 E.G. MILES PARKWAY, HINESVILLE, GA 31313
- **Mailing address phone:** (912) 877-7924
- **Mailing address fax:** (912) 877-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 047893 | GA | — |
| 261QM0850X | Adult Mental Health Clinic/Center | 047893 | GA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 047893 | GA | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 07/09/2009