Organization
CBR PHP & IOP LLC
Active
Organization
CBR PHP & IOP LLC
Active
Other names
CASABLANCA BOISE RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
ELHADI BENKIRANE (CEO)
(805) 630-7445
Entity
Organization
Contact information
Practice address
7167 W RIVERWOOD ST, BOISE, ID 83709-6254
(805) 630-7445
Mailing address
7167 W RIVERWOOD ST, BOISE, ID 83709-6254
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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