Pro Active Advantage, LLC

NPI #1407253669 in Gooding, Idaho

Provider Information

NPI Number
1407253669
Entity Type
Organization
Organization Name
Pro Active Advantage, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 3, 2014
Last Updated
Sep 15, 2021

Practice Location

Address
215 UNIVERSITY DR
State
Idaho
ZIP Code
83330-6155
Phone
(208) 934-5880

Authorized Official

Name
PAT MARECKI, B.S.
Title
HUMAN RESOURCES
Phone
(208) 772-4935

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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