institution
Back To Life, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona
NPI 1982871901

Back To Life, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phoenix, AZ. Back To Life, Inc practices in Phoenix, AZ. The NPI Number for Back To Life, Inc is 1982871901 and holds a License No. BH 3093 (Arizona).

The current practice location address for Back To Life, Inc is 12613 N 36Th Ln, Phoenix, AZ and can be reached out via phone at 602-354-4055.

Location: 12613 N 36Th Ln, Phoenix, AZ, 85066-8237
institution
Provider Profile Details
NPI Number
1982871901
Provider Name
Back To Life, Inc
Credential
Provider Entity Type
Organization
Address
12613 N 36Th Ln, Phoenix, AZ, 85066-8237
Phone Number
602-354-4055
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12613 N 36Th Ln
City
State
Zip
85029-2108
Phone Number
602-354-4055
Fax Number
person
Provider Business Mailing Address Details
Address
12613 N 36Th Ln
City
State
Zip
85029-2108
Phone Number
602-354-4055
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH 3093 (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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