Ignite Teen Treatment, LLC
NPI #1477217784 in Somerset, New Jersey
Provider Information
- NPI Number
- 1477217784
- Entity Type
- Organization
- Organization Name
- Ignite Teen Treatment, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 25, 2021
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 270 DAVIDSON AVE STE 105
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-4141
- Phone
- (570) 203-9222
Authorized Official
- Name
- ALAN BOND
- Title
- CFO
- Phone
- (310) 774-1303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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