BACK TO LIFE, INCORPORATED is a residential treatment facility emotionally disturbed children in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BACK TO LIFE, INCORPORATED NPI is 1093223125. The provider is registered as an organization entity type.
The provider's business location address is:
3301 N 63RD AVE PHOENIX, AZ ZIP 85033-203 Phone: (623) 249-4448 Fax: (623) 444-7829
The provider's authorized official is Gracie Gonzalez Padilla . The authorized official title is Chief Executive Officer and has the following contact phone number (602) 999-2400.
The enumeration date for this NPI number is 1/10/2018 and was last updated on 10/18/2019.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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