Jeffrey C. Wardle Academy, Inc

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

JEFFREY C. WARDLE ACADEMY, INC

Practice address

3304 I80 Service Rd
Cheyenne, WY 82009-8781

Phone

(307) 633-8040

Fax

(307) 634-9936

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Earl H Faulkner, PHD

Title

Chief Executive Director

Phone

(307) 638-4092

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629294228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 I80 SERVICE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820098781",
            "telephone_number": "307-633-8040",
            "fax_number": "307-634-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 I80 SERVICE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820098781",
            "telephone_number": "307-633-8040",
            "fax_number": "307-634-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. WARDLE ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-638-4092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Children's Substance Abuse Rehabilitation Facility in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Children's Substance Abuse Rehabilitation Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.