Organization
CHERRY STREET HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART WILLIAM BUXTON LLBSW (SUPPORTS COORDINATOR)
(616) 965-8200
Entity
Organization
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5357
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5357
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802088180
MI
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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