BACK TO LIFE INCORPORATED
NPI 1932381167
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

Active since November 29, 2007
3301 N 63RD AVE, PHOENIX, AZ 85033(623) 594-4870(623) 444-9213 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Back To Life Incorporated NPPES

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

BACK TO LIFE INCORPORATED (NPI 1932381167) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Phoenix, Arizona and active in the NPI registry since November 2007. The organization lists Gracie Padilla Contreras, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1932381167
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBACK TO LIFE INCORPORATED
Location Address3301 N 63RD AVEPhoenix, AZ 85033-5203
Mailing AddressPo Box 8237Phoenix, AZ 85066-8237 · (623) 594-4870 · Fax (623) 444-9213
Fax(623) 444-9213
Organization SubpartNo
Authorized OfficialGracie Padilla ContrerasChief Executive Officer · (623) 594-4870
Enumeration DateNovember 29, 2007
NPI 1932381167 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-3006
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.
3301 N 63RD AVE, Phoenix, AZ 85033

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Emotionally Disturbed Children
3301 N 63RD AVE
PHOENIX, AZ 85033

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 Incorporated's NPI number?

The NPI number for Back To Life Incorporated is 1932381167. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Back To Life Incorporated located?

Back To Life Incorporated is located at 3301 N 63rd Ave, Phoenix, AZ 85033. The listed phone number is (623) 594-4870.

What is Back To Life Incorporated'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 Incorporated was last updated on November 29, 2007. 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.