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 1497937767. The provider is registered as an organization entity type.
The provider's business location address is:
5915 W ROANOKE AVE
PHOENIX, AZ
ZIP 85035-639
Phone: (623) 594-4870
Fax: (623) 444-9213
The provider's authorized official is Gracie Padilla Contreras .
The authorized official title is Chief Executive Officer and has the following contact phone number (623) 594-4870.
The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/29/2007.