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Organization
PRO ACTIVE ADVANTAGE, LLC
Active
Organization
PRO ACTIVE ADVANTAGE, LLC
Active
Other names
Pro Active Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J. KNIGHT (CEO)
(208) 934-5880
Entity
Organization
Contact information
Practice address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876
Mailing address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NULL
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
09/15/2021
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