PRO ACTIVE ADVANTAGE, LLC
Community/Behavioral Health
Active
Organization
NPI: 1407253669
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community/Behavioral Health | 251S00000X | Yes | LPC-5654 (ID) |
Frequently Asked Questions
NPI 1407253669 is the National Provider Identifier for PRO ACTIVE ADVANTAGE, LLC, a Community/Behavioral Health provider located in Gooding, ID. This NPI was enumerated on December 3, 2014.
Quick Facts
- NPI
- 1407253669
- Type
- Organization
- Enumerated
- Dec 3, 2014
- Last Updated
- Sep 15, 2021
Nearby Providers
-
GOODING REHAB AND LIVING CENTER
Intermediate Care Facility, Mental Illness
-
DAVID HUTCHINSON, MPT
Physical Therapist
-
MRS. MARCY MORROW, PAC
Physician Assistant
-
KENDRICK PHARMACY INC
Pharmacy - Community/Retail Pharmacy
-
STEPHEN WILLIAMS, PAC
Physician Assistant