Organization
KHADJENOURY LLC
Active
Other names
Edventures group
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK KHADJENOURY (CEO)
(520) 907-6890
Entity
Organization
Contact information
Practice address
INDIAN ROUTER 7 AND HWY 191, CHINLE HIGH SCHOOL, CHINLE, AZ 86503
(520) 674-9570
(520) 674-9586
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
—
AZ
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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