Organization · Type 2 NPI

Cherry Street Services, Inc.

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

NPI number 1891867495 Active

Practice location

669 Stocking Ave NW
Grand Rapids, MI 49504-5176

Call (616) 235-1480 Map

Fax (616) 458-8102

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
Social Worker 104100000XNone listed
Dentist 122300000XNone listed
Nutritionist 133N00000XNone listed
Registered Nurse 163W00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

29 other providers at this address

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About NPI 1891867495

Cherry Street Services, Inc.'s National Provider Identifier is 1891867495, issued on Nov 15, 2006. 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 May 7, 2018.