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Back to Life, Incorporated
NPI 1497937767 · Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1497937767
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gracie Contreras, Chief Executive Officer(623) 594-4870
- License
- BH2772 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5915 W Roanoke Ave
Phoenix, AZ 85035-1639
Phone: (623) 594-4870
Fax: (623) 444-9213
Street-level locationGet directions
Mailing address
Po Box 8237
Phoenix, AZ 85066-8237
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2007-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.