Provider Demographics
NPI:1326525361
Name:GOLD STANDARD RECOVERY SERVICES, LLC
Entity Type:Organization
Organization Name:GOLD STANDARD RECOVERY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHELCIE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-464-0322
Mailing Address - Street 1:2319 WHITESANDS DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2855
Mailing Address - Country:US
Mailing Address - Phone:714-710-0385
Mailing Address - Fax:877-963-6329
Practice Address - Street 1:2319 WHITESANDS DR UNIT 3 & 4
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648
Practice Address - Country:US
Practice Address - Phone:714-710-8664
Practice Address - Fax:877-963-6329
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLD STANDARD RECOVERY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300009BP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility