Organization
KHADJENOURY LLC
Active
Other names
edventures group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIAMAK KHADJENOURY (CEO)
(520) 907-6890
Entity
Organization
Contact information
Practice address
INDIAN ROUTE 7 AND STATE HWY 191, EDVENTURES PROGRAM C/O CHINLE JR HIGH SCHOOL, CHINLE, AZ 86503
(520) 907-6890
Mailing address
8848 WILLOW HILLS CT, SANDY, UT 84093-1889
(520) 907-6890
(801) 944-2940
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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