# IGNITE TEEN TREATMENT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ignite Teen Treatment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346751526
- **Authorized official:** ALAN BOND (CFO)
- **Authorized official phone:** (570) 203-9222

## Contact information

- **Practice address:** 3722 LONE MESA DR, LAS VEGAS, NV 89147
- **Practice address phone:** (310) 721-6447
- **Mailing address:** 512 NORTHAMPTON ST \# 158, EDWARDSVILLE, PA 18704-4560
- **Mailing address phone:** (570) 203-9222
- **Mailing address fax:** (570) 203-9477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 11/20/2023