Phillips Ranch, LLC
Phillips Ranch, LLC is a Substance Abuse Rehabilitation Facility in Clark Fork, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3067 Mosquito Creek RdClark Fork, ID 83811-9825
Phone: (720) 495-0550
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1881424224 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alison Aggen — Owner/Clinical Director · (720) 495-0550 |
| NPI enumerated | August 1, 2024 |
| Last updated in NPPES | January 22, 2025 |
| Certification date | January 22, 2025 |
| Mailing address | 640 Champs Rd, Bonners Ferry, ID 83805-6219 |