| Convicted Comeback | |
|
5955 W Peoria Ave Unit 5343 Glendale AZ 85312-1015 | |
| (623) 309-0052 | |
| Not Available |
| Full Name | Convicted Comeback |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5955 W Peoria Ave Unit 5343, Glendale, Arizona |
| Authorized Official Name and Position | Kristin Kline (CO FOUNDER) |
| Authorized Official Contact | 6233090052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Convicted Comeback 5955 W Peoria Ave Unit 5343 Glendale AZ 85312-1015 Ph: (623) 309-0052 | Convicted Comeback 5955 W Peoria Ave Unit 5343 Glendale AZ 85312-1015 Ph: (623) 309-0052 |
| NPI Number | 1619835204 |
|---|---|
| Provider Enumeration Date | 01/12/2026 |
| Last Update Date | 01/12/2026 |
| Certification Date | 01/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619835204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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