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

Back to Life Incorporated

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1013558311

Back to Life Incorporated is an Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

6420 W Cocopah St
Phoenix, AZ 85043
Phone: (602) 999-2400
Fax: (623) 444-7829
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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

Record details

NPI number1013558311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gracie Padilla — Chief Executive Officer · (623) 518-9552
NPI enumeratedOctober 8, 2019
Last updated in NPPESOctober 8, 2019
Mailing addressPo Box 8237, Phoenix, AZ 85066-8237

Other providers in Phoenix