NPI 1144414780

Teton Youth and Family Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Wilson, WY

Practice location

Address: 7905 S. Fall Creek Rd., Wilson, WY 83014-0290
Phone: (307) 733-9098
Fax: (307) 733-7672
Mailing address: PO Box 290, Wilson, WY 83014-0290

Authorised official

Name: Bruce Burkland
Title: Executive Director
Phone: (307) 733-9098

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1518 (WY)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wyoming →

Registry record

NPI: 1144414780
Entity type: Organization
NPI issued: 28 Aug 2007
Record last updated: 28 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.