Organization · Type 2 NPI
Back To Life, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility · Glendale, AZ
Practice location
20011 N 77th Ave
Glendale, AZ 85308-8337
Mailing address
PO Box 8237
Phoenix, AZ 85066-8237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH-3045 (AZ) |
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.
Other emotionally disturbed childrens' residential treatment facility providers in Glendale
About NPI 1255504445
Back To Life, Inc's National Provider Identifier is 1255504445, issued on Apr 8, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Glendale, AZ. The record was last updated on Apr 8, 2008.