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CPF Idaho Behavioral Health, LLC

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Company Details

Name: CPF Idaho Behavioral Health, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Dec 2021 (4 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 4543193
Place of Formation: IDAHO
File Number: 797383
ZIP code: 83705
County: Ada County
Principal Address: CLINICAL DIRECTOR STE 190 2273 S VISTA AVE BOISE, ID 83705-7341

Agent

Name Role Address
Brhe Zolber Agent 2273 S VISTA AVE, # 190, BOISE, ID 83705

Member

Name Role Address Appointed On
CPF Outpatient Recovery, LLC Member 980 N. MICHIGAN AVE, CHICAGO, IL 60611 2024-11-05

National Provider Identifier

NPI Number:
1871259770
Certification Date:
2025-06-06

Authorized Person:

Name:
CHERYL GREEN
Role:
BILLING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No

Contacts:

Fax:
2083423238
Fax:
2083433238

Filing

Filing Name Filing Number Filing date
Annual Report 0005965403 2024-11-05
Application for Reinstatement 0005742693 2024-05-20
Dissolution/Revocation - Administrative 0005162698 2023-03-21
Initial Filing 0004543193 2021-12-28

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Date of last update: 17 Jun 2025

Sources: Idaho Secretary of State