# RED TOP MEADOWS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073826384
- **Authorized official:** MR. BRUCE BURKLAND (DIRECTOR)
- **Authorized official phone:** (307) 733-9098

## Contact information

- **Practice address:** 7905 S. FALL CREEK RD., WILSON, WY 83014
- **Practice address phone:** (307) 733-9098
- **Practice address fax:** (307) 733-7672
- **Mailing address:** PO BOX 290, WILSON, WY 83014-0290
- **Mailing address phone:** (307) 733-9098
- **Mailing address fax:** (307) 733-7672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | CMHW-057 | WY | — |
| 1041C0700X | Clinical Social Worker | LCSW\#470 | WY | Yes |

## Other

- **Enumeration date:** 07/16/2010
- **Last updated:** 07/16/2010