# IGNITE TEEN TREATMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629609441
- **Authorized official:** ALAN BOND (CFO)
- **Authorized official phone:** (310) 774-1303

## Contact information

- **Practice address:** 2330 PASEO DEL PRADO STE C101, LAS VEGAS, NV 89102-4336
- **Practice address phone:** (725) 272-0330
- **Mailing address:** 8635 W SAHARA AVE \# 10, LAS VEGAS, NV 89117-5858
- **Mailing address phone:** (725) 272-0330

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 05/09/2023