OrganizationActive
Edventures Group Pinon
NPI 1659690287 · Adolescent and Children Mental Health Clinic/Center · Pinon, AZ
Provider details
- NPI number
- 1659690287
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Siamak Khadjenoury, Ceo(520) 907-6890
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1 Mile North of Pinon Navajo Rt Hwy 41
Pinon, AZ 86510
Phone: (520) 907-6890
Fax: (801) 930-9134
Approximate (ZIP-level) locationGet directions
Mailing address
8848 Willow Hills Ct
Sandy, UT 84093-1889
Other names (DBA / former)
- Doing business as
- Khadjenoury LLC
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2010-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.