Back To Life, Inc in Phoenix - Residential Treatment Facility, Emotionally Disturbed Children
Back To Life, Inc - NPI 1255504445
Back To Life, Inc is a Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, Arizona. Back To Life, Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Back To Life, Inc is 1255504445. The last update date is 2008-04-08.
Back To Life, Inc's current location address is Po Box 8237, Phoenix, Arizona. You can contact this provider via phone number 6235944870. The mailing address for Back To Life, Inc is Po Box 8237, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Back To Life, Inc |
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Address | Po Box 8237, Phoenix, Arizona |
Phone Number | 6235944870 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Contreras Padilla Gracie |
Telephone Number | 6235944870 |
NPI Number Detail
NPI Number | 1255504445 |
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Provider Enumeration Date | 2008-04-08 |
Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
Address | Po Box 8237 |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850668237 |
Phone Number | 6235944870 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | 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. |
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What is the Back To Life, Inc's 1255504445?
The Back To Life, Inc's NPI (National Provider Identifier) Number is 1255504445. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Back To Life, Inc is physically located?
The Back To Life, Inc is physically situated at the following address: Po Box 8237, Phoenix, AZ, 850668237.
What is Back To Life, Inc's area of expertise and its corresponding taxonomy classification?
The Back To Life, Inc's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1255504445 to Back To Life, Inc?
The Back To Life, Inc received its 1255504445 assignment from the Centers for Medicare & Medicaid Services on 2008-04-08.
As of what date was the information regarding Back To Life, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Back To Life, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-08.
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