Organization · Type 2 NPI
Restoration Ranch, LLC
Mental Health Counselor · Pukwana, SD
NPI number
1174021273
Active
Practice location
35540 250th St
Pukwana, SD 57370-6513
Mailing address
35686 248th St
Kimball, SD 57355-6505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC7426 (SD) |
Mental Health Counselor: Definition to come...
About NPI 1174021273
Restoration Ranch, LLC's National Provider Identifier is 1174021273, issued on Jan 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pukwana, SD. The record was last updated on Jan 24, 2018.