Ignite Teen Treatment, LLC

NPI #1265142186 in Las Vegas, Nevada

Provider Information

NPI Number
1265142186
Entity Type
Organization
Organization Name
Ignite Teen Treatment, LLC
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Dec 1, 2022
Last Updated
Dec 1, 2022

Practice Location

Address
2330 PASEO DEL PRADO STE C103
State
Nevada
ZIP Code
89102-4336
Phone
(725) 272-0330

Authorized Official

Name
TERESA M POTTER
Title
DIRECTOR OF COMPLIANCE
Phone
(725) 272-0330

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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