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Organization

ANASAZI FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL MERCHANT (CEO PRESIDENT)
(480) 892-7403
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH1130
AZ
324500000X
Substance Abuse Rehabilitation Facility
BH1130
AZ

Other

Enumeration date
11/02/2006
Last updated
11/24/2010
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