OrganizationActive
Teton Youth & Family Services- Red Top Meadows
NPI 1063894632 · Mental Health Clinic/Center (Including Community Mental Health Center) · Wilson, WY
Provider details
- NPI number
- 1063894632
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Burkland, Executive Director(307) 733-9098
- License
- PPC-892 (WY)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense PPC-892 (WY)
Ambulatory Health Care Facilities
Practice location
7905 S. Fall Creek Road
Box 290
Wilson, WY 83014-0290
Phone: (307) 733-9098
Fax: (307) 733-7672
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 290
Wilson, WY 83014-0290
Registry dates
- Enumerated
- 2015-06-19
- Last updated
- 2015-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.