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Ignite Collective, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Newbury Park, California
NPI 1205602794

Ignite Collective, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Van Nuys, CA and is specialized in Mental Health (Including Community Mental Health Center). Ignite Collective, Inc practices in Newbury Park, CA. The NPI Number for Ignite Collective, Inc is 1205602794 and holds a License No. (California).

The current practice location address for Ignite Collective, Inc is 810 Lawrence Dr Ste 100, Newbury Park, CA and can be reached out via phone at 805-500-6597.

Location: 810 Lawrence Dr Ste 100, Newbury Park, CA, 91406-2806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205602794
Provider Name
Ignite Collective, Inc
Credential
Provider Entity Type
Organization
Address
810 Lawrence Dr Ste 100, Newbury Park, CA, 91406-2806
Phone Number
805-500-6597
Fax Number
Provider Enumeration Date
11/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
810 Lawrence Dr Ste 100
City
Newbury Park
State
California
Zip
91320-6615
Phone Number
805-500-6597
Fax Number
person
Provider Business Mailing Address Details
Address
810 Lawrence Dr Ste 100
City
Newbury Park
State
California
Zip
91320-6615
Phone Number
805-500-6597
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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