Back To Life Incorporated in Phoenix - Residential Treatment Facility, Emotionally Disturbed Children
Back To Life Incorporated - NPI 1932381167
Back To Life Incorporated is a Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, Arizona. Back To Life Incorporated practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Back To Life Incorporated is 1932381167. The last update date is 2007-11-29.
Back To Life Incorporated's current location address is Po Box 8237, Phoenix, Arizona. You can contact this provider via phone number 6235944870 and fax number 6234449213. The mailing address for Back To Life Incorporated is Po Box 8237, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Life Incorporated |
|---|---|
| Address | Po Box 8237, Phoenix, Arizona |
| Phone Number | 6235944870 |
| Fax Number | 6234449213 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Contreras Padilla Gracie |
| Telephone Number | 6235944870 |
NPI Number Detail
| NPI Number | 1932381167 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | Po Box 8237 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850668237 |
| Phone Number | 6235944870 |
| Fax Number | 6234449213 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 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. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Back To Life Incorporated by the Centers for Medicare & Medicaid Services?
The Back To Life Incorporated has been assigned the NPI (National Provider Identifier) 1932381167 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Back To Life Incorporated is geographically located?
The Back To Life Incorporated is physically situated at the following location: Po Box 8237, Phoenix, AZ, 850668237.
What is the Back To Life Incorporated's specialty and taxonomy code?
The Back To Life Incorporated's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932381167 to Back To Life Incorporated?
The Back To Life Incorporated received its 1932381167 assignment from the Centers for Medicare & Medicaid Services on 2007-11-29.
As of what date was the information pertaining to Back To Life Incorporated, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Back To Life Incorporated, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-29.