BACK TO LIFE, INC
NPI 1982871901
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

Active since May 08, 2008
12613 N 36TH LN, PHOENIX, AZ 85029(602) 354-4055 Get Directions Write a Review

NPPES record last updated: May 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 1982871901) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Phoenix, Arizona and active in the NPI registry since May 2008. The organization lists Gracie Padilla Contreras, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1982871901
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBACK TO LIFE, INC
Location Address12613 N 36TH LNPhoenix, AZ 85029-2108
Mailing AddressPo Box 8237Phoenix, AZ 85066-8237 · (623) 594-4870
Organization SubpartNo
Authorized OfficialGracie Padilla ContrerasChief Executive Officer · (623) 594-4870
Enumeration DateMay 8, 2008
NPI 1982871901 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 3093
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.
12613 N 36TH LN, Phoenix, AZ 85029

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 1982871901. It was assigned to this organization in the NPPES registry on May 8, 2008.

Where is Back To Life, Inc located?

Back To Life, Inc is located at 12613 N 36th Ln, Phoenix, AZ 85029. The listed phone number is (602) 354-4055.

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 May 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.