| NPI | 1952699415 |
|---|---|
| Former Legal Business Name | CHERRY STREET HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LINDA CONSTANTINO Finance Director 616-776-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 122300000X Dentist | |
| 152W00000X Optometrist | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |