JEFFREY C. WARDLE ACADEMY INC NPI 1629294228

NPI Information

NPI: 1629294228
Provider Name: JEFFREY C. WARDLE ACADEMY, INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3304 I80 SERVICE RD
CHEYENNE, WY
ZIP 82009
Phone: (307) 633-8040
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JEFFREY C. WARDLE ACADEMY, INC is a community based residential treatment facility mental illness in Cheyenne, WY. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. 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 8/22/2020.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes
2	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children			X

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: 11/14/2023

NPI Synchronization or Removal

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