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1477217784
IGNITE TEEN TREATMENT, LLC
SOMERSET, NJ
NPI
1477217784
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Entity Type
Organization
Authorized Contact
ALAN BOND
CFO
310-774-1303
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
IGNITE TEEN TREATMENT, LLC
270 DAVIDSON AVE STE 105
SOMERSET, NJ 08873-4141
Phone number: 570-203-9222
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Mailing Address
IGNITE TEEN TREATMENT, LLC
270 PIERCE ST STE 208
KINGSTON, PA 18704-5141
Phone number: 570-203-9222
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