Organization
HEART OF THE CITY
Active
Parent organization
CHERRY STREET HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY STREET HEALTH SERVICES
Authorized official
MR. CHRIS SHEA (EXCUTIVE DIRECTOR)
(616) 776-2120
Entity
Organization
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503
(616) 776-2120
(616) 776-2122
Mailing address
540 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 776-2212
(616) 776-2120
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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