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Center for Behavioral Health Idaho, LLC

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Company Details

Name: Center for Behavioral Health Idaho, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 27 Dec 2021 (4 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 4543412
Place of Formation: DELAWARE
File Number: 797433
ZIP code: 83709
County: Ada County
Principal Address: 92 SOUTH COLE ROAD BOISE, ID 83709
Mailing Address: STE 600E 5001 SPRING VALLEY RD DALLAS, TX 75244-8217

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Governor

Name Role Address Appointed On
VCPHCS, L.P. Governor 5001 SPRING VALLEY ROAD, DALLAS, TX 75244 2022-10-07

Manager

Name Role Address Appointed On
VCPHCS L.P. Manager 5001 SPRING VALLEY RD, DALLAS, TX 75244 2023-01-03

National Provider Identifier

NPI Number:
1760060933
Certification Date:
2024-12-26

Authorized Person:

Name:
JAY HIGHAM
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM2800X - Methadone Clinic
Is Primary:
Yes

Contacts:

Fax:
2143656150
Fax:
2082965387

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006283744 2025-05-27
Annual Report 0006037145 2024-12-27
Annual Report 0005530796 2023-12-29
Annual Report 0005048856 2023-01-03
Amendment of Foreign Registration Statement 0004923361 2022-10-07

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State