Organization
RESTORED TO NEW LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY RANDLE RAY JR. LCSW-PIP, LAC, QMPH (OWNER/THERAPIST)
(605) 271-7712
Entity
Organization
Contact information
Practice address
225 E 11TH ST STE 206, SIOUX FALLS, SD 57104-6482
(605) 271-7712
(605) 274-1557
Mailing address
1915 E 8TH ST STE 102, SIOUX FALLS, SD 57103-1865
(605) 271-7712
(605) 274-1557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
07/24/2023
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