Khadjenoury LLC
NPI #1861773004 in Thoreau, New Mexico
Provider Information
- NPI Number
- 1861773004
- Entity Type
- Organization
- Organization Name
- Khadjenoury LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 1, 2011
- Last Updated
- Sep 1, 2011
Practice Location
- Address
- 8 HAWK CIRCLE
- Address 2
- EDVENTURES C/O THOREAU MIDDLE SCHOOL
- City
- Thoreau
- State
- New Mexico
- ZIP Code
- 87323
- Phone
- (801) 833-0568
Authorized Official
- Name
- MR. SIAMAK KHADJENOURY
- Title
- CEO
- Phone
- (801) 833-0568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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