Jeffrey C. Wardle Academy, INC

NPI #1629294228 in Cheyenne, Wyoming

Provider Information

NPI Number: 1629294228
Entity Type: Organization
Organization Name: Jeffrey C. Wardle Academy, INC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Apr 18, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 3304 I80 SERVICE RD
City: Cheyenne
State: Wyoming
ZIP Code: 82009-8781
Phone: (307) 633-8040

Authorized Official

Name: MR. EARL H FAULKNER, PHD
Title: CHIEF EXECUTIVE DIRECTOR
Phone: (307) 638-4092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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