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Back To Life, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Glendale, Arizona
NPI 1255504445

Back To Life, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Back To Life, Inc practices in Glendale, AZ. The NPI Number for Back To Life, Inc is 1255504445 and holds a License No. BH-3045 (Arizona).

The current practice location address for Back To Life, Inc is 20011 N 77Th Ave, Glendale, AZ and can be reached out via phone at 623-271-7843. You can also correspond with Back To Life, Inc through the mailing address at PO BOX 8237, PHOENIX, AZ - 85066-8237 (mailing address contact number: 623-594-4870).

Location: 20011 N 77Th Ave, Glendale, AZ, 85066-8237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255504445
Provider Name
Back To Life, Inc
Credential
Provider Entity Type
Organization
Address
20011 N 77Th Ave, Glendale, AZ, 85066-8237
Phone Number
623-271-7843
Fax Number
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20011 N 77Th Ave
City
Glendale
State
Arizona
Zip
85308-8337
Phone Number
623-271-7843
Fax Number
person
Provider Business Mailing Address Details
Address
20011 N 77Th Ave
City
Glendale
State
Arizona
Zip
85308-8337
Phone Number
623-271-7843
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH-3045 (Arizona)
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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