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Ignite Teen Treatment, Llc
Adolescent and Children Mental Health Clinic/Center in Hollywood, Florida
NPI 1194489401

Ignite Teen Treatment, Llc is an Adolescent and Children Mental Health Clinic/Center based in Kingston, FL and is specialized in Adolescent and Children Mental Health. Ignite Teen Treatment, Llc practices in Hollywood, FL. The NPI Number for Ignite Teen Treatment, Llc is 1194489401 and holds a License No. (Florida).

The current practice location address for Ignite Teen Treatment, Llc is 2341 Hollywood Blvd, Hollywood, FL and can be reached out via phone at 570-203-9222 and via fax at 570-203-9477.

Location: 2341 Hollywood Blvd, Hollywood, FL, 18704-5141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194489401
Provider Name
Ignite Teen Treatment, Llc
Credential
Provider Entity Type
Organization
Address
2341 Hollywood Blvd, Hollywood, FL, 18704-5141
Phone Number
570-203-9222
Fax Number
570-203-9477
Provider Enumeration Date
10/25/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2341 Hollywood Blvd
City
Hollywood
State
Florida
Zip
33020-6708
Phone Number
570-203-9222
Fax Number
570-203-9477
person
Provider Business Mailing Address Details
Address
2341 Hollywood Blvd
City
Hollywood
State
Florida
Zip
33020-6708
Phone Number
570-203-9222
Fax Number
570-203-9477
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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