| Teton Youth & Family Services- Red Top Meadows | |
|
7905 S. Fall Creek Road Box 290 Wilson WY 83014-0290 | |
| (307) 733-9098 | |
| (307) 733-7672 |
| Full Name | Teton Youth & Family Services- Red Top Meadows |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7905 S. Fall Creek Road, Wilson, Wyoming |
| Authorized Official Name and Position | Bruce Burkland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3077339098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Youth & Family Services- Red Top Meadows Po Box 290 Wilson WY 83014-0290 Ph: (307) 733-9098 | Teton Youth & Family Services- Red Top Meadows 7905 S. Fall Creek Road Box 290 Wilson WY 83014-0290 Ph: (307) 733-9098 |
| NPI Number | 1063894632 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063894632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PPC-892 (Wyoming) | Primary |
Red Top Meadows Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7905 S. Fall Creek Rd., Wilson, WY 83014 Phone: 307-733-9098 Fax: 307-733-7672 |