Organization
CHERRY STREET SERVICES, INC.
Active
Parent organization
CHERRY STREET SERVICES, INC.
Other names
Lakeside Clubhouse
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY STREET SERVICES, INC.
Authorized official
LINDA M CONSTANTINO (CFO)
(616) 776-2128
Entity
Organization
Contact information
Practice address
490 CENTURY LN, HOLLAND, MI 49423
(616) 965-8380
(616) 965-8381
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
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/30/2018
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