| NPI | 1962375451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LOUIS KACZMARCZYK Owner 616-402-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |