Lakeside Clubhouse

LBN: Cherry Street Services, Inc.
Lakeside Clubhouse is an health care organization with primary practice located at 490 Century Ln , Holland MI 49423. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Cherry Street Services, Inc. can be contacted via phone (616) 965-8380, or through Constantino, Linda M via phone (616) 776-2128.

Contact Information

Primary practice address
490 Century Ln Holland MI 49423
Phone: (616) 965-8380
Fax: (616) 965-8381
Website:
Map and Directions
Authorized official contact:
Name: Constantino, Linda M
Phone: (616) 776-2128

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1215414800
LBN Legal business name Cherry Street Services, Inc.
DBA Doing business as Lakeside Clubhouse
Authorized official Constantino, Linda M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2018
Last updated Jul 30th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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