Cherry Street Services, Inc.

NPI #1215414800 in Holland, Michigan

Provider Information

NPI Number: 1215414800
Entity Type: Organization
Organization Name: Cherry Street Services, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: CHERRY STREET SERVICES, INC.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 26, 2018
Last Updated: Jul 30, 2018

Practice Location

Address: 490 CENTURY LN
City: Holland
State: Michigan
ZIP Code: 49423
Phone: (616) 965-8380

Authorized Official

Name: LINDA M CONSTANTINO
Title: CFO
Phone: (616) 776-2128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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