Khadjenoury LLC

NPI #1790937548 in Chinle, Arizona

Provider Information

NPI Number
1790937548
Entity Type
Organization
Organization Name
Khadjenoury LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 10, 2008
Last Updated
Oct 10, 2008

Practice Location

Address
HWY 59 AND HC 61 P.O. 5050-PTT
Address 2
EDVENTURES PROGRAM C/O ROUGH ROCK HIGH SCHOOL
City
Chinle
State
Arizona
ZIP Code
86503
Phone
(520) 907-6890

Authorized Official

Name
MR. SIAMAK KHADJENOURY
Title
CEO
Phone
(520) 907-6890

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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