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 1093223125

Back to Life, Incorporated is an Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

3301 N 63rd Ave
Phoenix, AZ 85033-5203
Phone: (623) 249-4448
Fax: (623) 444-7829
Show map & directions

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-5346 (AZ)

Record details

NPI number1093223125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gracie Padilla — Chief Executive Officer · (602) 999-2400
NPI enumeratedJanuary 10, 2018
Last updated in NPPESOctober 18, 2019
Mailing addressPo Box 8237, Phoenix, AZ 85066-8237

Other providers in Phoenix