| NPI | 1851224380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA POLK Owner 267-736-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 103TC0700X Psychologist, Clinical | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |