| NPI | 1982279428 |
|---|---|
| Doing Business As | CHERRY HEALTH - SOUTHSIDE HEALTH CENTER SUITE 200 |
| Entity Type | Organization |
| Authorized Contact | TASHA BLACKMON CEO 616-965-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 207L00000X Anesthesiology | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-08-31 |