Organization · Type 2 NPI
Ignite Teen Treatment, LLC
Adult Mental Health Clinic/Center · Hollywood, FL
NPI number
1194489401
Active
Practice location
2341 Hollywood Blvd
Hollywood, FL 33020-6708
Fax (570) 203-9477
Mailing address
270 Pierce St Ste 208
Kingston, PA 18704-5141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
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About NPI 1194489401
Ignite Teen Treatment, LLC's National Provider Identifier is 1194489401, issued on Oct 25, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Hollywood, FL. The record was last updated on Oct 25, 2021.