Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Back to Life, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1982871901

Back to Life, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12613 N 36th Ln
Phoenix, AZ 85029-2108
Phone: (602) 354-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence BH 3093 (AZ)

Record details

NPI number1982871901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gracie Contreras — Chief Executive Officer · (623) 594-4870
NPI enumeratedMay 8, 2008
Last updated in NPPESMay 8, 2008
Mailing addressPo Box 8237, Phoenix, AZ 85066-8237

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