Organization
LGTC MANAGEMENT COMPANY
Active
Other names
LGTC - WILLOW GLEN
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE TILMAN (DIRECTOR)
(408) 559-3403
Entity
Organization
Contact information
Practice address
1551 HAMILTON AVE, SAN JOSE, CA 95125-4540
(408) 559-3403
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
08/02/2022
Last updated
08/02/2022
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