| NPI | 1225139298 |
|---|---|
| Doing Business As | PRO ACTIVE BEHAVIORAL HEALTH |
| Doing Business As | PROACTIVE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LISA COLWELL Office Manager 208-734-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-08-22 |