OrganizationActive
Cherry Street Services Inc
NPI 1346600905 · Federally Qualified Health Center (FQHC) · Muskegon, MI
Provider details
- NPI number
- 1346600905
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Cherry Street Services Inc
- Organization subpart
- Yes
- Authorized official
- Tasha Blackmon, Ceo(616) 965-8215
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
1611 Oak Ave
Muskegon, MI 49442-2468
Phone: (616) 965-8200
Fax: (616) 940-5366
Approximate (ZIP-level) locationGet directions
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Other names (DBA / former)
- Doing business as
- Muskegon Recovery Center
- Doing business as
- Muskegon Recovery Center
Registry dates
- Enumerated
- 2016-02-25
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.