JEFFREY C. WARDLE ACADEMY INC NPI 1629294228

NPI Information

  • NPI: 1629294228
  • Provider Name: JEFFREY C. WARDLE ACADEMY, INC
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 3304 I80 SERVICE RD
    CHEYENNE, WY
    ZIP 82009
  • Phone: (307) 633-8040

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NPI Details

JEFFREY C. WARDLE ACADEMY, INC is a substance abuse treatment and children substance abuse rehabilitation facility in Cheyenne, WY. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. JEFFREY C. WARDLE ACADEMY, INC NPI is 1629294228. The provider is registered as an organization entity type.

The provider's business location address is:

3304 I80 SERVICE RD
CHEYENNE, WY
ZIP 82009-781
Phone: (307) 633-8040
Fax: (307) 634-9936

The provider's authorized official is Earl H Faulkner .
The authorized official title is Chief Executive Director and has the following contact phone number (307) 638-4092.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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