| NPI | 1154072023 |
|---|---|
| Doing Business As | ACTIVE PURSUIT THERAPY |
| Entity Type | Organization |
| Authorized Contact | CANDACE RENEE COOPER Professional Counselor 208-316-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-02-23 |