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Organization
LOS GATOS THERAPY CENTER
Active
Organization
LOS GATOS THERAPY CENTER
Active
Other names
Los Gatos Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE TILMAN (MANAGER)
(800) 913-2615
Entity
Organization
Contact information
Practice address
2542 S BASCOM AVE STE 110, CAMPBELL, CA 95008-5541
(408) 559-3403
(408) 559-3158
Mailing address
2542 S BASCOM AVE STE 110, CAMPBELL, CA 95008-5541
(800) 913-2615
(408) 559-3158
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
09/15/2026
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