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
HWY 59 AND HC 61 P.O. 5050-PTT, EDVENTURES PROGRAM C/O ROUGH ROCK HIGH SCHOOL, CHINLE, AZ 86503
(520) 907-6890
(801) 944-2940
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
10/10/2008
Last updated
10/10/2008
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