Organization · NPI-2

Anasazi Foundation

Psychiatric Residential Treatment Facility · Mesa, AZ

NPI number1497833644
StatusActive
Last updated in NPPESNov 24, 2010

Details

NPI
1497833644
Entity type
Organization (NPI-2)
Legal business name
Anasazi Foundation
Organization subpart
No
Enumeration date
Nov 2, 2006
Last updated
Nov 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment FacilityBH1130AZYes
324500000X Substance Abuse Rehabilitation FacilityBH1130AZ

Practice location

1424 S Stapley Dr
Mesa, AZ 85204-5877

Phone 800-678-3445

Mailing address

1424 S Stapley Dr
Mesa, AZ 85204-5877

Phone 800-678-3445

Authorized official

Michael Merchant
Ceo President
4808927403

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