institution
Back To Life Incorporated
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1013558311

Back To Life Incorporated is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Back To Life Incorporated practices in Phoenix, AZ. The NPI Number for Back To Life Incorporated is 1013558311 and holds a License No. (Arizona).

The current practice location address for Back To Life Incorporated is 6420 W Cocopah St, Phoenix, AZ and can be reached out via phone at 602-999-2400 and via fax at 623-444-7829.

Location: 6420 W Cocopah St, Phoenix, AZ, 85066-8237
institution
Provider Profile Details
NPI Number
1013558311
Provider Name
Back To Life Incorporated
Credential
Provider Entity Type
Organization
Address
6420 W Cocopah St, Phoenix, AZ, 85066-8237
Phone Number
602-999-2400
Fax Number
623-444-7829
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6420 W Cocopah St
City
State
Zip
85043
Phone Number
602-999-2400
Fax Number
623-444-7829
person
Provider Business Mailing Address Details
Address
6420 W Cocopah St
City
State
Zip
85043
Phone Number
602-999-2400
Fax Number
623-444-7829
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
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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