BACK TO LIFE, INC
NPI 1255504445
Residential Treatment Facility, Emotionally Disturbed Children in Glendale, AZ

Active since April 08, 2008
20011 N 77TH AVE, GLENDALE, AZ 85308(623) 271-7843 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Back To Life, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK TO LIFE, INC (NPI 1255504445) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Glendale, Arizona and active in the NPI registry since April 2008. The organization lists Gracie Padilla Contreras, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1255504445
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBACK TO LIFE, INC
Location Address20011 N 77TH AVEGlendale, AZ 85308-8337
Mailing AddressPo Box 8237Phoenix, AZ 85066-8237 · (623) 594-4870
Organization SubpartNo
Authorized OfficialGracie Padilla ContrerasChief Executive Officer · (623) 594-4870
Enumeration DateApril 8, 2008
NPI 1255504445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in AZ · BH-3045
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.
20011 N 77TH AVE, Glendale, AZ 85308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Back To Life, Inc's NPI number?

The NPI number for Back To Life, Inc is 1255504445. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Back To Life, Inc located?

Back To Life, Inc is located at 20011 N 77th Ave, Glendale, AZ 85308. The listed phone number is (623) 271-7843.

What is Back To Life, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Back To Life, Inc was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.