Organization
CHERRY STREET SERVICES, INC.
Active
Parent organization
CHERRY STREET SERVICES, INC.
Other names
Cherry Health - Cedar Springs High School Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY STREET SERVICES, INC.
Authorized official
TASHA BLACKMON (CEO)
(616) 965-8200
Entity
Organization
Contact information
Practice address
204 E MUSKEGON ST, CEDAR SPRINGS, MI 49319-9326
(616) 696-3470
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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