Organization
LGTC MANAGEMENT COMPANY
Active
Other names
LGTC Cambrian
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE TILMAN (EXECUTIVE DIRECTOR)
(408) 559-3403
Entity
Organization
Contact information
Practice address
1534 SAN ANDREAS AVE, SAN JOSE, CA 95118-1055
(408) 553-3403
Mailing address
2542 S BASCOM AVE STE 110, CAMPBELL, CA 95008-5541
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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