Guardian Recovery Program LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

17046100 Issued in WA

Legal business name

GUARDIAN RECOVERY PROGRAM LLC

Practice address

4812 Aurora Ave N
Seattle, WA 98103-6518

Phone

(206) 545-0597

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lynda J. Whitcomb, CDP

Title

Executive Director

Phone

(206) 545-0597

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1467612424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036518",
            "telephone_number": "206-545-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036518",
            "telephone_number": "206-545-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN RECOVERY PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WHITCOMB",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-545-0597",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "17046100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602518096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Gu, PH.D.
• Tina Guadan Fogall, MS, RDN
• Reynaldo Guajardo, LMP
• Zi Jun Guan
• Sinai Guantes Hernandez
• Victoria Guardipee I, MSW
• Cambrie Guarino, DC
• Victoria Gubarik
• John Dionisio Gubatayao, CDP
• Gina Lynn Guddat, B.A. M.A. - PSCYHOLO

• Substance Use Disorder Rehabilitation Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.