# ANASAZI FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497833644
- **Authorized official:** MR. MICHAEL MERCHANT (CEO PRESIDENT)
- **Authorized official phone:** (480) 892-7403

## Contact information

- **Practice address:** 1424 S STAPLEY DR, MESA, AZ 85204-5877
- **Practice address phone:** (800) 678-3445
- **Mailing address:** 1424 S STAPLEY DR, MESA, AZ 85204-5877
- **Mailing address phone:** (800) 678-3445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | BH1130 | AZ | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | BH1130 | AZ | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 11/24/2010
