Organization
CHERRY STREET SERVICES INC
Active
Organization
CHERRY STREET SERVICES INC
Active
Parent organization
CHERRY STREET SERVICES INC
Other names
Muskegon Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY STREET SERVICES INC
Authorized official
TASHA BLACKMON CEO (CEO)
(616) 965-8215
Entity
Organization
Contact information
Practice address
1611 OAK AVE, MUSKEGON, MI 49442-2468
(616) 965-8200
(616) 940-5366
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
08/25/2023
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