Organization · Type 2 NPI

Cherry Street Services Inc

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

NPI number 1982279428 Active

Practice location

2303 Kalamazoo Ave SE Ste 200
Grand Rapids, MI 49507-3780

Call (616) 965-8379 Map

Fax (616) 940-5354

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Social Worker 1041C0700XNone listed
Anesthesiology Physician 207L00000XNone listed
Addiction Medicine (Anesthesiology) Physician 207LA0401XNone listed
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1982279428

Cherry Street Services Inc's National Provider Identifier is 1982279428, issued on May 26, 2021. 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 31, 2021.