OrganizationActive
Ignite Teen Treatment LLC
NPI 1932974995 · Psychiatric Residential Treatment Facility · Las Vegas, NV
Provider details
- NPI number
- 1932974995
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melissa Marshall, Director of Billing(570) 203-9222
Specialties & taxonomies
Residential Treatment Facilities
Practice location
7390 Edna Ave
Las Vegas, NV 89117-2902
Phone: (570) 203-9222
Fax: (570) 203-9477
Approximate (ZIP-level) locationGet directions
Mailing address
512 Northampton St # 158
Edwardsville, PA 18704-4560
Registry dates
- Enumerated
- 2023-11-20
- 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.