# BH-ID OPCO IF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Headwaters Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174488746
- **Authorized official:** CHAD ENGBRECHT (GENERAL COUNSEL)
- **Authorized official phone:** (858) 254-2510

## Contact information

- **Practice address:** 383 ENERGY DR, IDAHO FALLS, ID 83401-4880
- **Practice address phone:** (986) 202-8190
- **Mailing address:** PO BOX 12125, PORTLAND, OR 97212-0125
- **Mailing address phone:** (619) 889-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2025
- **Last updated:** 12/17/2025
