Back To Life Incorporated

LBN: Back To Life Incorporated
Back To Life Incorporated is an health care organization with primary practice located at 6420 W Cocopah St , Phoenix AZ 85043. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Back To Life Incorporated can be contacted via phone (602) 999-2400, or through Padilla, Gracie Gonzalez via phone (623) 518-9552.

Contact Information

Primary practice address
6420 W Cocopah St Phoenix AZ 85043
Phone: (602) 999-2400
Fax: (623) 444-7829
Website:
Map and Directions
Authorized official contact:
Name: Padilla, Gracie Gonzalez
Phone: (623) 518-9552

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1013558311
LBN Legal business name Back To Life Incorporated
DBA Doing business as
Authorized official Padilla, Gracie Gonzalez
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2019
Last updated Oct 8th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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