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CBR PHP & IOP LLC

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Company Details

Name: CBR PHP & IOP LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 May 2025 (2 months ago)
Financial Date End: 31 May 2026
Entity Number: 6256130
Place of Formation: IDAHO
File Number: 994065
ZIP code: 83709
County: Ada County
Principal Address: 7167 W RIVERWOOD ST BOISE, ID 83709
Mailing Address: 7167 W RIVERWOOD ST BOISE, ID 83709-6254

Agent

Name Role Address
1 $35 ANNUAL IDAHO AGENT LLC Agent 424 E SHERMAN AVE, COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1821889247
Certification Date:
2025-05-15

Authorized Person:

Name:
ELHADI BENKIRANE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State