Organization
BH-ID OPCO IF, LLC
Active
Other names
Headwaters Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT (GENERAL COUNSEL)
(858) 254-2510
Entity
Organization
Contact information
Practice address
383 ENERGY DR, IDAHO FALLS, ID 83401-4880
(986) 202-8190
Mailing address
PO BOX 12125, PORTLAND, OR 97212-0125
(619) 889-3399
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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