institution
Back To Life, Incorporated
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1497937767

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 1497937767 and holds a License No. BH2772 (Arizona).

The current practice location address for Back To Life, Incorporated is 5915 W Roanoke Ave, Phoenix, AZ and can be reached out via phone at 623-594-4870 and via fax at 623-444-9213.

Location: 5915 W Roanoke Ave, Phoenix, AZ, 85066-8237
institution
Provider Profile Details
NPI Number
1497937767
Provider Name
Back To Life, Incorporated
Credential
Provider Entity Type
Organization
Address
5915 W Roanoke Ave, Phoenix, AZ, 85066-8237
Phone Number
623-594-4870
Fax Number
623-444-9213
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143580 05 AZ
institution
Provider Business Practice Location Address Details
Address
5915 W Roanoke Ave
City
State
Zip
85035-1639
Phone Number
623-594-4870
Fax Number
623-444-9213
person
Provider Business Mailing Address Details
Address
5915 W Roanoke Ave
City
State
Zip
85035-1639
Phone Number
623-594-4870
Fax Number
623-444-9213
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH2772 (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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