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
(480) 892-7403
Mailing address
1424 S STAPLEY DR, MESA, AZ 85204-5877
(480) 892-7403
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH1130
AZ
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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