Back to Life, Incorporated
Back to Life, Incorporated is an Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
5915 W Roanoke AvePhoenix, AZ 85035-1639
Phone: (623) 594-4870
Fax: (623) 444-9213
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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 BH2772 (AZ) |
|---|
Record details
| NPI number | 1497937767 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gracie Contreras — Chief Executive Officer · (623) 594-4870 |
| NPI enumerated | November 28, 2007 |
| Last updated in NPPES | November 29, 2007 |
| Mailing address | Po Box 8237, Phoenix, AZ 85066-8237 |
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