Whalio Doctors

NPI 1629294228

Jeffrey C. Wardle Academy, INC

Organisation Children's Substance Abuse Rehabilitation Facility Cheyenne, WY

Practice location

Address
3304 I80 Service Rd, Cheyenne, WY 82009-8781
Phone
(307) 633-8040
Fax
(307) 634-9936

Authorised official

Name
Earl H Faulkner
Title
Chief Executive Director
Phone
(307) 638-4092

Registered specialties (2)

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1629294228
Entity type
Organization
NPI issued
18 Apr 2007
Record last updated
11 Sep 2025

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.