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Organization

EDVENTURES GROUP PINON

Active
Other names
khadjenoury LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SIAMAK KHADJENOURY (CEO)
(520) 907-6890
Entity
Organization

Contact information

Practice address
1 MILE NORTH OF PINON NAVAJO RT HWY 41, PINON, AZ 86510
(520) 907-6890
(801) 930-9134
Mailing address
8848 WILLOW HILLS CT, SANDY, UT 84093-1889
(520) 907-6890
(801) 930-9134

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
05/21/2010
Last updated
05/21/2010
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