Organization
UNICARE HEALTH SERVICES OF IDAHO L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WODEFIT BIYAREGEW MSW (OWNER)
(208) 747-5333
Entity
Organization
Contact information
Practice address
125 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 747-5333
Mailing address
125 E 50TH ST, GARDEN CITY, ID 83714-1413
(208) 747-5333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/09/2026
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