NPI 1063984219

Ignite Teen Treatment, LLC

Organisation Psychiatric Residential Treatment Facility Las Vegas, NV

Practice location

Address: 3621 Bahama Bay CT, Las Vegas, NV 89147-6800
Phone: (310) 721-6447
Mailing address: 512 Northampton St # 158, Edwardsville, PA 18704-4560

Authorised official

Name: Alan Bond
Title: Cfo
Phone: (570) 203-9222

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Nevada →

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Other Clinic/Center providers in Nevada →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Nevada →

Registry record

NPI: 1063984219
Entity type: Organization
NPI issued: 28 Dec 2018
Record last updated: 20 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.