| NPI | 1295279693 |
|---|---|
| Doing Business As | PRO-ACTIVE RESOURCES |
| Entity Type | Organization |
| Authorized Contact | MARTIN BERG President 317-501-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |