Ignite Teen Treatment, LLC
Clinic/Center, Adult Mental Health in Somerset, New Jersey
1477217784- Practice location
- 270 Davidson Ave Ste 105, Somerset, NJ 08873-4141
- Phone
- 570-203-9222
- Fax
- 570-203-9477
- Last updated
- October 25, 2021
Ignite Teen Treatment, LLC is a healthcare organization based in Somerset, NJ. Ignite Teen Treatment, LLC practices in Somerset, NJ. The NPI Number for Ignite Teen Treatment, LLC is 1477217784. The current practice location address for Ignite Teen Treatment, LLC is 270 Davidson Ave Ste 105, Somerset, NJ 08873-4141 and can be reached out via phone at 570-203-9222 and via fax at 570-203-9477.
Provider Profile Details
- NPI Number
- 1477217784
- Provider Name
- Ignite Teen Treatment, LLC
- Provider Entity Type
- Organization
- Address
- 270 Davidson Ave Ste 105, Somerset, NJ 08873-4141
- Phone Number
- 570-203-9222
- Fax Number
- 570-203-9477
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Alan Bond · Cfo · 310-774-1303
- Provider Enumeration Date
- October 25, 2021
- Last Update Date
- October 25, 2021
- Certification Date
- October 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 270 Davidson Ave Ste 105
Somerset, NJ 08873-4141 - City
- Somerset
- State
- New Jersey
- Zip
- 08873-4141
- Phone Number
- 570-203-9222
- Fax Number
- 570-203-9477
Provider Business Mailing Address Details
- Address
- 270 Pierce St Ste 208
Kingston, PA 18704-5141 - City
- Kingston
- State
- PA
- Zip
- 18704-5141
- Phone Number
- 570-203-9222
License Information
- Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near Somerset, NJ
View all Clinic/Center, Adult Mental Health providers in Somerset →Frequently Asked Questions
What is the NPI number of Ignite Teen Treatment, LLC?
The NPI number of Ignite Teen Treatment, LLC is 1477217784. It was assigned on October 25, 2021 and is currently active in the NPPES registry.
What is the specialty of Ignite Teen Treatment, LLC?
Ignite Teen Treatment, LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Ignite Teen Treatment, LLC practice?
The practice location is 270 Davidson Ave Ste 105, Somerset, NJ 08873-4141. The office can be reached at 570-203-9222 (phone) or 570-203-9477 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477217784 directly on the NPPES registry website.