Organization
HEART OF THE CITY
Active
Other names
Cherry Street Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA CONSTANTINO (FINANCE DIRECTOR)
(616) 776-2120
Entity
Organization
Contact information
Practice address
540 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 776-2120
(616) 772-2122
Mailing address
100 CHERRY STREET SE, GRAND RAPIDS, MI 49503
(616) 776-2120
(616) 776-2122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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