OrganizationActive
Ignite Teen Treatment, LLC
NPI 1316551682 · Psychiatric Residential Treatment Facility · Las Vegas, NV
Provider details
- NPI number
- 1316551682
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melissa Marshall, Director of Billing & Collections(570) 203-9222
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
2761 Family Ct
Las Vegas, NV 89117-2601
Phone: (866) 604-7273
Approximate (ZIP-level) locationGet directions
Mailing address
512 Northampton St # 158
Edwardsville, PA 18704-4560
Registry dates
- Enumerated
- 2020-09-03
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.