BACK TO LIFE, INCORPORATED
NPI: 1497937767
· PHOENIX, AZ 85035
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 11/28/2007
Provider Details
| Authorized Official | CONTRERAS, GRACIE (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 11/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
32 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
32 |
13 |
$56K |