| Edventures Group | |
|
Indian Router 7 And Hwy 191 Chinle High School Chinle AZ 86503 | |
| (520) 674-9570 | |
| (520) 674-9586 |
| Full Name | Edventures Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Indian Router 7 And Hwy 191, Chinle, Arizona |
| Authorized Official Name and Position | Siamak Khadjenoury (CEO) |
| Authorized Official Contact | 5209076890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edventures Group 8848 Willow Hills Ct Sandy UT 84093-1889 Ph: (520) 907-6890 | Edventures Group Indian Router 7 And Hwy 191 Chinle High School Chinle AZ 86503 Ph: (520) 674-9570 |
| NPI Number | 1376760496 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376760496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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