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Back To Life, Incorporated

Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, AZ · enumerated 2018 · authorized official Gracie Padilla, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093223125

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Registry record

Entity type Organization (Type 2)
Legal business name Back To Life, Incorporated
Practice address 3301 N 63rd Ave, Phoenix, AZ, 85033
Fax (623) 444-7829
Enumeration date Jan 10, 2018
Last updated in NPPES Oct 18, 2019

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License BH-5346 (AZ) Primary

Authorized official

Name Gracie Padilla
Title Chief Executive Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-18. Verify at npiregistry.cms.hhs.gov.
Where is Back To Life, Incorporated located?
The practice location on file with NPPES is in Phoenix, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-18.