| NPI | 1538388426 |
|---|---|
| Professional Name | TEDDY IDEHEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-10509270844) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |