| Four Corners | |
|
15798 Livernois Ave Detroit MI 48238 | |
| (248) 495-8985 | |
| (248) 719-7595 |
| Full Name | Four Corners |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15798 Livernois Ave, Detroit, Michigan |
| Authorized Official Name and Position | Karicia Regene Carter (DIRECTOR) |
| Authorized Official Contact | 2484958985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners 15798 Livernois Ave Detroit MI 48238 Ph: (248) 495-8985 | Four Corners 15798 Livernois Ave Detroit MI 48238 Ph: (248) 495-8985 |
| NPI Number | 1124438320 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124438320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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