Organization · Type 2 NPI

Back To Life, Incorporated

Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ

NPI number 1497937767 Active

Practice location

5915 W Roanoke Ave
Phoenix, AZ 85035-1639

Call (623) 594-4870 Map

Fax (623) 444-9213

Mailing address

PO Box 8237
Phoenix, AZ 85066-8237

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	BH2772 (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.

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About NPI 1497937767

Back To Life, Incorporated's National Provider Identifier is 1497937767, issued on Nov 28, 2007. 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 Nov 29, 2007.