| Red Top Meadows | |
|
7905 S. Fall Creek Rd. Wilson WY 83014 | |
| (307) 733-9098 | |
| (307) 733-7672 |
| Full Name | Red Top Meadows |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7905 S. Fall Creek Rd., Wilson, Wyoming |
| Authorized Official Name and Position | Bruce Burkland (DIRECTOR) |
| Authorized Official Contact | 3077339098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Top Meadows Po Box 290 Wilson WY 83014-0290 Ph: (307) 733-9098 | Red Top Meadows 7905 S. Fall Creek Rd. Wilson WY 83014 Ph: (307) 733-9098 |
| NPI Number | 1073826384 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073826384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CMHW-057 (Wyoming) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW#470 (Wyoming) | Primary |
Teton Youth & Family Services- Red Top Meadows Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7905 S. Fall Creek Road, Box 290, Wilson, WY 83014 Phone: 307-733-9098 Fax: 307-733-7672 |