Organization · Type 2 NPI

Back To Life Incorporated

Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ

NPI number 1013558311 Active

Practice location

6420 W Cocopah St
Phoenix, AZ 85043

Call (602) 999-2400 Map

Fax (623) 444-7829

Mailing address

PO Box 8237
Phoenix, AZ 85066-8237

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

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About NPI 1013558311

Back To Life Incorporated's National Provider Identifier is 1013558311, issued on Oct 8, 2019. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 8, 2019.