institution
Back To Life Incorporated
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1932381167

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 1932381167 and holds a License No. BH-3006 (Arizona).

The current practice location address for Back To Life Incorporated is 3301 N 63Rd Ave, Phoenix, AZ and can be reached out via phone at 623-594-4870 and via fax at 623-444-9213.

Location: 3301 N 63Rd Ave, Phoenix, AZ, 85066-8237
institution
Provider Profile Details
NPI Number
1932381167
Provider Name
Back To Life Incorporated
Credential
Provider Entity Type
Organization
Address
3301 N 63Rd Ave, Phoenix, AZ, 85066-8237
Phone Number
623-594-4870
Fax Number
623-444-9213
Provider Enumeration Date
11/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3301 N 63Rd Ave
City
State
Zip
85033-5203
Phone Number
623-594-4870
Fax Number
623-444-9213
person
Provider Business Mailing Address Details
Address
3301 N 63Rd Ave
City
State
Zip
85033-5203
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.
BH-3006 (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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