| NPI | 1124148176 |
|---|---|
| Doing Business As | PRO ACTIVE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | FRANK J KNIGHT CEO 208-934-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-09-15 |