Organization
KHADJENOURY LLC
Active
Other names
edventuresgroup
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIAMAK KHADJENOURY (CEO)
(801) 833-0568
Entity
Organization
Contact information
Practice address
8 HAWK CIRCLE, EDVENTURES C/O THOREAU MIDDLE SCHOOL, THOREAU, NM 87323
(801) 833-0568
(801) 930-9134
Mailing address
8 HAWK CIRCLE, THOREAU MIDDLE SCHOOL, THOREAU, NM 84732
(801) 833-0568
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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