| NPI | 1558459164 |
|---|---|
| Doing Business As | CHERRY STREET HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | TASHA BLACKMON CEO 616-965-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 104100000X Social Worker | |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 122300000X Dentist | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-05-07 |