Organization
CHERRY STREET SERVICES INC
Active
Other names
Cedar Springs School Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA BLACKMON (CEO)
(616) 965-8200
Entity
Organization
Contact information
Practice address
4873 16 MILE RD NE, CEDAR SPRINGS, MI 49319-8435
(616) 696-7330
(616) 696-3123
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
05/08/2024
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