NPI | 1073634713 |
---|---|
Doing Business As | PRO ACTIVE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | FRANK J. KNIGHT CEO 208-934-5880 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Enumeration Date | 2007-04-02 |
Last Update Date | 2021-09-15 |