Teton Youth & Family Services- Red Top Meadows

NPI #1063894632 in Wilson, Wyoming

Provider Information

NPI Number: 1063894632
Entity Type: Organization
Organization Name: Teton Youth & Family Services- Red Top Meadows
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 19, 2015
Last Updated: Jun 19, 2015

Practice Location

Address: 7905 S. FALL CREEK ROAD
Address 2: BOX 290
City: Wilson
State: Wyoming
ZIP Code: 83014-0290
Phone: (307) 733-9098

Authorized Official

Name: MR. BRUCE BURKLAND
Title: EXECUTIVE DIRECTOR
Phone: (307) 733-9098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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