Organization · Type 2 NPI

Cherry Street Services Inc

Federally Qualified Health Center (FQHC) · Grand Rapids, MI

NPI number 1386926004 Active

Practice location

2303 Kalamazoo Ave SE
Grand Rapids, MI 49507-3780

Call (616) 965-8390 Map

Fax (616) 254-8192

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Registered Nurse 163W00000XNone listed
Addiction Medicine (Anesthesiology) Physician 207LA0401XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

26 other providers at this address

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About NPI 1386926004

Cherry Street Services Inc's National Provider Identifier is 1386926004, issued on Sep 20, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 25, 2023.