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Organization
TETON YOUTH AND FAMILY SERVICES
Active
Organization
TETON YOUTH AND FAMILY SERVICES
Active
Other names
Red Top Meadows
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BURKLAND LMFT (EXECUTIVE DIRECTOR)
(307) 733-9098
Entity
Organization
Contact information
Practice address
7905 S. FALL CREEK RD., WILSON, WY 83014-0290
(307) 733-9098
(307) 733-7672
Mailing address
PO BOX 290, WILSON, WY 83014-0290
(307) 733-9098
(307) 733-7672
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1518
WY
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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