Organization
JEFFREY C. WARDLE ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL H FAULKNER PHD (CHIEF EXECUTIVE DIRECTOR)
(307) 638-4092
Entity
Organization
Contact information
Practice address
3304 I80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 633-8040
(307) 634-9936
Mailing address
3304 I80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 633-8040
(307) 634-9936
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
09/11/2025
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